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

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