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TYLER SULLIVAN
NPI 1790187177
Specialist/Technologist - Athletic Trainer in Kalamazoo, MI

Active since September 17, 2014
5808 COPPER BEECH BLVD APT C, KALAMAZOO, MI 49009(765) 661-8006 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Sullivan NPPES

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

TYLER SULLIVAN (NPI 1790187177) is an individual athletic trainer provider in Kalamazoo, Michigan, licensed in Indiana (36002089A) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1790187177
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTYLER SULLIVAN
Location Address5808 COPPER BEECH BLVD APT CKalamazoo, MI 49009-5717
Mailing Address5808 Copper Beech Blvd Apt CKalamazoo, MI 49009-5717 · (765) 661-8006
Phone(765) 661-8006
Sole ProprietorYes
Enumeration DateSeptember 17, 2014
✔ NPI 1790187177 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 IN · 36002089A
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.
5808 COPPER BEECH BLVD APT C, Kalamazoo, MI 49009
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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 Tyler Sullivan's NPI number?

The NPI number for Tyler Sullivan is 1790187177. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Tyler Sullivan located?

Tyler Sullivan practices at 5808 Copper Beech Blvd Apt C, Kalamazoo, MI 49009. The listed phone number is (765) 661-8006.

What is Tyler Sullivan'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 Tyler Sullivan was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.