Ty Imler
NPI #1154968808 in Loganville, Georgia
Provider Information
- NPI Number
- 1154968808
- Entity Type
- Individual
- Name
- Ty Imler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 2, 2019
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 1830 PINEY GROVE RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-3613
- Phone
- (678) 618-3281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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