TYRELL E TOLLIVER (NPI# 1821591413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821591413 |
| Entity Type | Individual |
| Full Name | TYRELL E TOLLIVER |
| Credential | ATC |
| Practice Address |
80 W Southern Ave Muskegon MI 49441-2541 |
| Mailing Address |
462 N Center Dr Nw Apt 3b Walker MI 49544-8506 |
| Practice Telephone | 6166485281 |
| Mailing Telephone | 6166485281 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001870 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 W SOUTHERN AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245408 | Hackley Community Care Center Inc | Counselor | 80 W Southern Ave, Muskegon, MI 49441-2541 | 2015-05-26 |
| 1780057562 | Lindsey Hoffman | Dental Hygienist | 80 W Southern Ave, Muskegon, MI 49441-2541 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| 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 |
|---|---|---|---|---|
| 1134683741 | Hunter Theodore Steigman | Specialist/Technologist | 1030 Ducey Ave, Muskegon, MI 49442-2168 | 2019-01-28 |
| 1639689524 | Emari Ramon Hardy | Specialist/Technologist | 1511 Lexington Ave, Muskegon, MI 49441-3125 | 2017-10-04 |
| 1003277674 | Brenden Tudor | Specialist/Technologist | 4240 E Laketon Ave, Muskegon, MI 49442-4742 | 2016-03-10 |
| 1619360732 | Jasmine Charmelle Williams | Specialist/Technologist | 1114 Jefferson St, Muskegon, MI 49440-1410 | 2015-03-13 |
| 1528101086 | Scott Allan Shoemake | Specialist/Technologist | 1476 W Harbour Towne Cir, Muskegon, MI 49441-6413 | 2007-02-15 |
| 1699812214 | Eric Surge | Specialist/Technologist | 1545 Getz Rd, Muskegon, MI 49441-5727 | 2007-01-31 |
| 1720177736 | Abigail Lynn Gagnon | Specialist/Technologist | 1400 Mercy Dr Ste 100, Muskegon, MI 49444-1836 | 2006-10-11 |
| 1184018806 | Michael Shuster | Specialist/Technologist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2015-03-19 |
| 1528451598 | Marcus Schillaci | Specialist/Technologist | 1400 Mercy Dr, Suite 50, Muskegon, MI 49444-1836 | 2015-03-14 |
| 1871628842 | Michelle Dawn Ward | Specialist/Technologist | 1675 Leahy St, Suite 200, Muskegon, MI 49442-5500 | 2007-02-22 |
| Find all providers in MUSKEGON | ||||
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| 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.