NPI 1245788108

Tyler Kimbar

Practitioner Athletic Trainer South Portland, ME

Practice location

Address: 119 Gannett Dr, South Portland, ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 661-4630

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT 540 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1245788108
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2016
Record last updated: 9 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.