MR. MICHAEL TILLERY ATC
NPI 1164980694
Specialist/Technologist - Athletic Trainer in Lompoc, CA

Q: What is Michael Tillery's NPI number?

The NPI number for Michael Tillery is 1164980694. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Q: What is Michael Tillery's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tillery was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2019

4350 CONSTELLATION RD, LOMPOC, CA 93436(805) 742-2900(895) 742-2917 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Tillery Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL TILLERY ATC (NPI 1164980694) is an individual athletic trainer provider in Lompoc, California, licensed in California (070402516) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1164980694

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. MICHAEL TILLERYCredential: ATC

Location Address4350 CONSTELLATION RDLompoc, CA 93436-1033

Mailing Address4350 Constellation RdLompoc, CA 93436-1099 · (805) 742-2900 · Fax (805) 742-2917

Phone(805) 742-2900

Fax(895) 742-2917

Sole ProprietorYes

Enumeration DateMarch 4, 2019

✔ NPI 1164980694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in CA · 070402516

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

4350 CONSTELLATION RD, Lompoc, CA 93436

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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