TYLER LOUGH (NPI# 1114460755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114460755 |
| Entity Type | Individual |
| Full Name | TYLER LOUGH |
| Credential | M.S., ATC, LAT |
| Practice Address |
12112 W Kellogg St Wichita KS 67235-1100 |
| Mailing Address |
5366 N Lycee St Bel Aire KS 67226-8701 |
| Practice Telephone | 3164401100 |
| Mailing Telephone | 7854582633 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-01021 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12112 W KELLOGG ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67235-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962551051 | Christopher Todd Roy | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2007-01-09 |
| 1417579905 | Levi Mcgee | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-05-07 |
| 1750911392 | Michael Brian Harvey | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-01-23 |
| 1154816320 | Joseph Lewis | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-06-28 |
| 1649778440 | Rachel Jensen | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-01-26 |
| 1801200449 | Bryce Walter | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2014-06-11 |
| 1861708356 | Lee Braeger | Physical Therapy Assistant | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2010-08-23 |
| 1265747042 | Nicholas Biggs | Physical Therapy Assistant | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2010-08-17 |
| 1811221252 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2009-10-01 |
| 1396975207 | Jarvis Keith Odgers | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1609341882 | Kara Jean Steen | Rehabilitation Practitioner | 12112 W Kellogg Ave, Wichita, KS 67235 | 2018-10-03 |
| 1528339199 | Maria Boothe | Pharmacist | 13534 W Maple Street, Wichita, KS 67235 | 2012-01-13 |
| 1528009966 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 13415 W Maple St, Wichita, KS 67235 | 2006-06-09 |
| 1982916995 | Elizabeth Lynn Flax | Family Medicine | 13610 W Maple St, Wichita, KS 67235 | 2010-07-07 |
| 1003137316 | Scott Willis Wiggins | Dentist | 12105 Nantucket St, Wichita, KS 67235-1224 | 2010-06-21 |
| 1215300405 | Jada Heinze | Specialist/Technologist | 525 N Bay Country St, Wichita, KS 67235-1324 | 2015-11-10 |
| 1750728978 | Meridian Craig Faul | Midwife, Lay | 12131 Meribeau Ct, Wichita, KS 67235-1424 | 2013-05-29 |
| 1033111281 | Betty Kepler Skinner | Social Worker | 2135 N Sunridge St, Wichita, KS 67235-1503 | 2005-06-01 |
| 1700076296 | Betty K. Skinner, Lscsw, Inc. | Community/Behavioral Health | 2135 N Sunridge St, Wichita, KS 67235-1503 | 2007-07-31 |
| Find all providers in zip 67235 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1922611201 | Kylie Alexis Roberts | Specialist/Technologist | 7610 E 32nd St N Apt 702, Wichita, KS 67226-1284 | 2020-08-26 |
| 1467084947 | Alex Milby | Specialist/Technologist | 1043 N Post Oak Rd, Wichita, KS 67206-3829 | 2020-02-12 |
| 1457996001 | Haleigh Raeann Owens | Specialist/Technologist | 3100 W Mccormick Ave, Wichita, KS 67213-2008 | 2019-11-07 |
| 1801375183 | Joshua Gerard Elmer | Specialist/Technologist | 500 E Waterman St, Wichita, KS 67202-4509 | 2018-08-08 |
| 1689151227 | Serena Lynn Lytle | Specialist/Technologist | 620 S Richmond St, Wichita, KS 67213-2644 | 2018-07-26 |
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1649716069 | Weston Bucher | Specialist/Technologist | 1437 N Rochester St, Wichita, KS 67203-2647 | 2017-01-09 |
| 1487197000 | Dennis John Munk | Specialist/Technologist | 7903 W 19th St N, Wichita, KS 67212-1499 | 2016-11-30 |
| 1174987218 | Cris Dooley | Specialist/Technologist | 1999 N Amidon Ave Ste 100, Wichita, KS 67203-2122 | 2016-04-05 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on TYLER LOUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.