Active NPIIndividual provider

Tyler Kretschmar, ATC

Specialist/Technologist, Athletic Trainer in Smithfield, Rhode Island

NPI Number1760995815
Practice location
1150 Douglas Pike, Smithfield, RI 02917-1291
Fax
—
Last updated
November 13, 2017

Tyler Kretschmar is a Specialist/Technologist, Athletic Trainer based in Smithfield, RI. Tyler Kretschmar practices in Smithfield, RI and has the professional credentials of ATC. The NPI Number for Tyler Kretschmar is 1760995815 and holds a License No. AT00449 (RI). The current practice location address for Tyler Kretschmar is 1150 Douglas Pike, Smithfield, RI 02917-1291 and can be reached out via phone at 401-232-6530.

Provider Profile Details

NPI Number
1760995815
Provider Name
Tyler Kretschmar
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1150 Douglas Pike, Smithfield, RI 02917-1291
Phone Number
401-232-6530
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2017
Last Update Date
November 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1150 Douglas Pike
Smithfield, RI 02917-1291
Zip
02917-1291
Phone Number
401-232-6530
Smithfield, RI 02917Get directions →

Provider Business Mailing Address Details

Address
6 Deer Creek Run
Somersworth, NH 03878-1616
City
Somersworth
State
NH
Zip
03878-1616
Phone Number
603-817-4252

License Information

License Number
AT00449
License State
RI
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler Kretschmar, ATC?

The NPI number of Tyler Kretschmar, ATC is 1760995815. It was assigned on November 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Tyler Kretschmar, ATC?

Tyler Kretschmar, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number AT00449.

Where does Tyler Kretschmar, ATC practice?

The practice location is 1150 Douglas Pike, Smithfield, RI 02917-1291. The office can be reached at 401-232-6530 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760995815 directly on the NPPES registry website.

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