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Tyler Wood, MS, ATC

Specialist/Technologist, Athletic Trainer in Urbana, IL. Individual provider (NPI-1).

NPI number1831641018
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1831641018
Entity type
Individual (NPI-1)
Name
Tyler Wood
Credential
MS, ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2016
Last updated
Nov 3, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer096004187ILYes

Practice location

901 S Goodwin Ave
Urbana, IL 61801-3840

Phone 217-244-7006

Mailing address

901 S Goodwin Ave
Urbana, IL 61801-3840

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Urbana, IL

All 11 Athletic Trainer providers in Urbana · All 1,958 providers in Urbana

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