Male or Other

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)

Code

2255A2300X

Primary Taxonomy

Yes

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

Provider Address

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