Tyler J. Bauman ATC, LAT
Athletic Trainer in Saint Paul, MN(View on Map)
Full Name
Tyler John Bauman ATC, LAT
NPI Number
1770057507
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/15/2019
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1704 CRESTVIEW ST
1540 6TH ST E
City
Shakopee
Saint Paul
State
MN
MN
Postal Code
55379-4320
55106-4850
Country
US
US
Telephone Number
(952) 449-1054
(952) 449-1054
Identifiers
Identifier
920798698
Identifier State
Unknown
Identifier Issuer
MEDICA
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/17/2021