NPI 1760995815

Tyler Kretschmar, ATC

Practitioner Athletic Trainer Smithfield, RI

Practice location

Address: 1150 Douglas Pike, Smithfield, RI 02917-1291
Phone: (401) 232-6530
Mailing address: 6 Deer Creek Run, Somersworth, NH 03878-1616

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT00449 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1760995815
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2017
Record last updated: 13 Nov 2017

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.