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

Tyler Torell Fullwood

Individual provider Athletic Trainer · NPI 1881491405

Tyler Torell Fullwood is an Athletic Trainer in Gwynn Oak, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2116 Streamway Ct
Gwynn Oak, MD 21207-6093
Phone: (443) 712-3904
Show map & directions

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

Specialties & licences

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

Record details

NPI number1881491405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025