Individual
TYLER WILLIAM FLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
77 CLOUSER RD, MECHANICSBURG, PA 17055-9743
(717) 697-5015
Mailing address
77 CLOUSER RD, MECHANICSBURG, PA 17055-9743
(717) 697-5015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022549
BOARD OF CERTIFICATION-ATHLETIC TRAINER
—
Enumeration date
09/08/2015
Last updated
09/08/2015
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