Provider Demographics
NPI:1689066201
Name:MARONE, TYLER ASHLEY (ATC)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:ASHLEY
Last Name:MARONE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 S YORK ST
Mailing Address - Street 2:407
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5251
Mailing Address - Country:US
Mailing Address - Phone:575-405-9127
Mailing Address - Fax:
Practice Address - Street 1:2500 S YORK ST
Practice Address - Street 2:407
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5251
Practice Address - Country:US
Practice Address - Phone:575-405-9127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer