Tyler Blair
NPI #1376913715 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1376913715
- Entity Type
- Individual
- Name
- Tyler Blair
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 28, 2015
- Last Updated
- Jul 28, 2016
Practice Location
- Address
- 6 OAKWOOD DR
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3388
- Phone
- (217) 473-8494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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