Individual
TYLER J SHOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
111 ROUTE 715, BRODHEADSVILLE, PA 18322-7101
(272) 212-0430
Mailing address
100 DREAM DR APT C34, WIND GAP, PA 18091-7700
(570) 903-9994
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT030276
PA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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