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

Individual provider Athletic Trainer · NPI 1295463040

Mya Domonique Anna Tino is an Athletic Trainer in Wimauma, Florida. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

16675 Parker River St
Wimauma, FL 33598-2447
Phone: (540) 841-9650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1295463040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022