Provider Demographics
NPI:1154829075
Name:HINKLE, TYLER CHRISTIAN (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:TYLER
Middle Name:CHRISTIAN
Last Name:HINKLE
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 SW 6TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2721
Mailing Address - Country:US
Mailing Address - Phone:804-972-0000
Mailing Address - Fax:
Practice Address - Street 1:LEMERAND CENTER
Practice Address - Street 2:2214 STADIUM RD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-3261
Practice Address - Country:US
Practice Address - Phone:352-692-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL53152255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer