MR. TYNAN HANCOCK DAVIS ATC, LAT
NPI 1720570096
Specialist/Technologist - Athletic Trainer in Chicago, IL

Active since June 03, 2018
839 W ROOSEVELT RD, CHICAGO, IL 60608(510) 301-3364 Get Directions Write a Review

NPPES record last updated: June 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tynan Hancock Davis Atc, Lat NPPES

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

MR. TYNAN HANCOCK DAVIS ATC, LAT (NPI 1720570096) is an individual athletic trainer provider in Chicago, Illinois, licensed in Illinois (096.004298) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1720570096
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. TYNAN HANCOCK DAVISCredential: ATC, LAT
Location Address839 W ROOSEVELT RDChicago, IL 60608-1530
Mailing Address1831 Parker StBerkeley, CA 94703-1919 · (510) 301-3364
Sole ProprietorYes
Enumeration DateJune 3, 2018
NPI 1720570096 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 IL · 096.004298
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.
839 W ROOSEVELT RD, Chicago, IL 60608

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.

Specialist/Technologist (Athletic Trainer)
839 W ROOSEVELT RD
CHICAGO, IL 60608
Physical Medicine & Rehabilitation (Sports Medicine)
839 W ROOSEVELT RD
CHICAGO, IL 60608
Physical Medicine & Rehabilitation (Sports Medicine)
839 W ROOSEVELT RD, SUITE #102
CHICAGO, IL 60608
Specialist/Technologist (Athletic Trainer)
839 W ROOSEVELT RD
CHICAGO, IL 60608
Specialist/Technologist (Athletic Trainer)
839 W ROOSEVELT RD, ATHLETIC TRAINING
CHICAGO, IL 60608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tynan Davis's NPI number?

The NPI number for Tynan Davis is 1720570096. It was assigned to this individual provider in the NPPES registry on June 3, 2018.

Where is Tynan Davis located?

Tynan Davis practices at 839 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (510) 301-3364.

What is Tynan Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Tynan Davis was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.