Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Allen Tommerup, MS, ATC

Individual provider Athletic Trainer · NPI 1679521611

Mr. Timothy Allen Tommerup, MS, ATC is an Athletic Trainer in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

300 N Broadway
Lexington, KY 40508-1797
Phone: (859) 233-8850
Fax: (859) 233-8638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT624 (KY)

Record details

NPI number1679521611
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 13, 2026

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