Individual
DOROTHY S TYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
603 N WALNUT ST, UNION CITY, IN 47390-1034
(989) 218-2547
Mailing address
208 SUNSET DR, WINCHESTER, IN 47394-9256
(989) 218-2547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2025
Last updated
06/17/2025
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