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

Tyler King

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174154579

Tyler King is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

107 S Indiana Ave
Bloomington, IN 47405-7000
Phone: (812) 855-4848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174154579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address1310 Coral Dr, Sun Prairie, WI 53590-1933

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