Individual provider · Type 1 NPI

Tyler Andrew Desmond

Student in an Organized Health Care Education/Training Program · Bowling Green, OH

NPI number 1407224553 Active

Practice location

1610 Stadium Dr
Bowling Green, OH 43403-4302

Call (419) 372-2401 Map

Mailing address

1375 Devonshire St
Bowling Green, OH 43402-2100

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 1407224553

Tyler Andrew Desmond's National Provider Identifier is 1407224553, issued on Sep 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bowling Green, OH. The record was last updated on Sep 7, 2015.