Healthcare Provider Details

I. General information

NPI: 1528407046
Provider Name (Legal Business Name): CHRISTOPHER TYLER CURLESS MHA, ATC, LAT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10767 ILLINOIS ST STE A2200
CARMEL IN
46032-8972
US

IV. Provider business mailing address

10767 ILLINOIS ST STE A2200
CARMEL IN
46032-8972
US

V. Phone/Fax

Practice location:
  • Phone: 317-817-1226
  • Fax:
Mailing address:
  • Phone: 317-817-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number36001712A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: