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

Tyler Gardiner, ATC

Individual provider Athletic Trainer · NPI 1063035616

Tyler Gardiner, ATC is an Athletic Trainer in South Portland, Maine. Practices as a sole proprietor and works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

119 Gannett Dr
South Portland, ME 04106-6942
Phone: (207) 773-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 61 Green St, Watertown, MA 02472-2351 — (617) 924-3794

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT881 (ME)

Record details

NPI number1063035616
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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