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Tyler Martineau
NPI 1376280651 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1307 W 800 N
Clinton, UT 84015 - Phone
- (435) 225-2766
- Organisation at this address
- Emissary Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah