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

Tyler Sullivan

Individual provider Athletic Trainer · NPI 1790187177

Tyler Sullivan is an Athletic Trainer in Kalamazoo, Michigan. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

5808 Copper Beech Blvd Apt C
Kalamazoo, MI 49009-5717
Phone: (765) 661-8006
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002089A (IN)

Record details

NPI number1790187177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 17, 2014
Mailing address5808 Copper Beech Blvd Apt C, Kalamazoo, MI 49009-5717

Other providers in Kalamazoo