IndividualActive
Tyler Wack, MS, ATC
NPI 1396264701 · Athletic Trainer · Appling, GA
Provider details
- NPI number
- 1396264701
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2150 Discovery Dr
Appling, GA 30802-0078
Phone: (888) 280-4331
Approximate (ZIP-level) locationGet directions
Mailing address
4377 Roxbury Dr
Evans, GA 30809-3249
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2026-01-31
- Certified
- 2026-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.