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

Tyler Jeffrey Manion, LAT, ATC

Individual provider Athletic Trainer · NPI 1972259646

Tyler Jeffrey Manion, LAT, ATC is an Athletic Trainer in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2022.

Licensed in
IL, MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726
Phone: (618) 799-8703
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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 2022034395 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 096005476 (IL)

Record details

NPI number1972259646
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

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