NPI age
8 years
Enumerated 2017-09-18
● Active
Type 1 · Individual
Tyler Wack, MS, ATC
Wack is 1 of 1 specialist/technologist providers in Appling and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1405 active specialist/technologist providers in Georgia.
NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Practice location
2150 Discovery Dr
Appling, GA 308020078
Mailing address
4377 Roxbury Dr
Evans, GA 308093249
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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