Individual
DR. TYLER JAMES LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4340 LADSON RD STE B, LADSON, SC 29456-6444
(433) 765-0568
(843) 376-2730
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10386
SC
225100000X
Physical Therapist
27355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH4327
—
SC
Enumeration date
02/11/2019
Last updated
06/24/2021
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