Individual
TYLER IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2060 CARLISLE RD, ASPERS, PA 17304-9707
(717) 339-2580
(717) 677-4452
Mailing address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4197
(717) 337-4121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005141
PA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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