Individual
MR. TYLER WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
115 WOODBINE LN, DANVILLE, PA 17821-9118
(518) 312-6504
Mailing address
115 WOODBINE LN, DANVILLE, PA 17821-9118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006064
PA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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