Individual provider · Type 1 NPI

Tyler De Lap

Student in an Organized Health Care Education/Training Program · Springfield, MO

NPI number 1306778022 Active

Practice location

901 S National Ave # PROF417
Springfield, MO 65897-0027

Mailing address

6250 State Highway 125 N
Rogersville, MO 65742-8143

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306778022

Tyler De Lap's National Provider Identifier is 1306778022, issued on May 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MO. The record was last updated on May 29, 2026.