Whalio Doctors

NPI 1861779969

Susan Marie Tymkew, MSATCL

Practitioner Athletic Trainer Castle Rock, CO

Practice location

Address
3835 Dinosaur St, Castle Rock, CO 80109-3630
Phone
(303) 520-1138

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 611 (CO)

Registry record

NPI
1861779969
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Nov 2011
Record last updated
3 Nov 2011

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.