Individual
MR. TYLER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1750 KRESSON RD, CHERRY HILL, NJ 08003-2590
(856) 424-2222
(856) 761-0856
Mailing address
4823 HAMILTON DR, VOORHEES, NJ 08043-3140
(856) 777-2681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
11/11/2022
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