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

Tyler Nusbaum

Individual provider Athletic Trainer · NPI 1508429432

Tyler Nusbaum is an Athletic Trainer in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

200 S Hampton Pl
Clarksville, TN 37040-6359
Phone: (419) 518-0395
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2381 (TN)

Record details

NPI number1508429432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESApril 16, 2019
Mailing address216 Ohio Dr, Bryan, OH 43506-8944

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