Provider Demographics
NPI:1023585387
Name:GUNTER, TYLER ANTHONY (ATC)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:ANTHONY
Last Name:GUNTER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15376 PANTHER LN
Mailing Address - Street 2:
Mailing Address - City:SALE CREEK
Mailing Address - State:TN
Mailing Address - Zip Code:37373-5739
Mailing Address - Country:US
Mailing Address - Phone:423-805-6014
Mailing Address - Fax:
Practice Address - Street 1:15376 PANTHER LN
Practice Address - Street 2:
Practice Address - City:SALE CREEK
Practice Address - State:TN
Practice Address - Zip Code:37373-5739
Practice Address - Country:US
Practice Address - Phone:423-805-6014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer