Tyler Adolf

Individual provider Active NPI Athletic Trainer · West Chester, PA

NPI 1912650573 · NPPES record last updated Feb 2, 2022

Key facts

NPI
1912650573
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
700 S High St
West Chester, PA 19382-3622
Phone
(610) 436-1000
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

700 S High St
West Chester, PA 19382-3622

Mailing address

700 S High St
West Chester, PA 19382-3622

Other providers in West Chester, PA

All providers in West Chester, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.