Individual
MR. TYLER ANHALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
120 MEDIA LINE RD, NEWTOWN SQUARE, PA 19073-4614
(610) 325-6434
Mailing address
1118 HARDING DR, HAVERTOWN, PA 19083-5221
(484) 486-9145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006342
PA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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