Tyler Stoltman, ACT/LAT
NPI #1144605098 in Independence, Missouri
Provider Information
- NPI Number
- 1144605098
- Entity Type
- Individual
- Name
- Tyler Stoltman, ACT/LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ACT/LAT
- Enumeration Date
- Jul 21, 2015
- Last Updated
- Nov 9, 2015
Practice Location
- Address
- 19550 E 39TH ST S STE 230
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-2309
- Phone
- (816) 795-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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