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

Tyler Austin Long, ATC

Individual provider Athletic Trainer · NPI 1417499062

Tyler Austin Long, ATC is an Athletic Trainer in Columbia, South Carolina. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1300 Wheat St Ofc 214
Columbia, SC 29208-0001
Phone: (636) 699-0078
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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 2000025534 (MO)

Record details

NPI number1417499062
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESNovember 14, 2016

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