Individual
TYLER COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6204 PAXTON RUN RD, SHIPPENSBURG, PA 17257-9118
(717) 977-0972
Mailing address
6204 PAXTON RUN RD, SHIPPENSBURG, PA 17257-9118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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