Healthcare Provider Details

I. General information

NPI: 1154296127
Provider Name (Legal Business Name): TYLER ATCHLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DOWELL SPRINGS BLVD
KNOXVILLE TN
37909-2456
US

IV. Provider business mailing address

2535 CUSICK CIR
LENOIR CITY TN
37772-5339
US

V. Phone/Fax

Practice location:
  • Phone: 865-371-8573
  • Fax:
Mailing address:
  • Phone: 865-591-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: