Tyler Martineau
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Clinton, UT
NPI 1376280651 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1376280651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 1307 W 800 N
Clinton, UT 84015-8807 - Phone
- (435) 225-2766
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emissary LLC | Durable Medical Equipment & Medical Supplies | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | UT | Yes |
Addresses
Primary practice location
1307 W 800 N
Clinton, UT 84015-8807
Mailing address
1307 W 800 N
Clinton, UT 84015-8807
Phone (435) 225-2766
Other providers in Clinton, UT
- Ryan Lindquist
- Living Wright Recovery
- Kylin Long
- Kirt Dallas Longfellow
- Cassie Lopez
- Ann Maruri
- Joseph Karl McCombs
- Gregory Scott Medved
- Scott L Mitchell
- Jenny Marie Morales
All providers in Clinton, UT · Durable Medical Equipment & Medical Supplies in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.