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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER J SHOTTO, DPT

Active Sole Proprietor

TYLER J SHOTTO, DPT is a Sports Medicine (PM&R) healthcare provider located in BRODHEADSVILLE, Pennsylvania. NPI 1285380196 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · BRODHEADSVILLE, PA

Registration Details

NPI Number
1285380196
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2022 (4.4968006319607 yrs)
Last Updated
Mar 1, 2022
License
PT030276 (PA)
Sole Proprietor
Yes

Practice Information

Address
111 ROUTE 715
BRODHEADSVILLE, PA, 183227101
Browse PA providers · Browse ZIP 18322
Phone
2722120430
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.