Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER KOERTH, ATC
ActiveSports Medicine (EM) · DELTON, MI
Registration Details
- NPI Number
- 1578089645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2017 (8.6716504913695 yrs)
- Last Updated
- Aug 20, 2017
- License
-
2601001854 (MI)
Practice Information
- Address
-
10425 PANTHER PRIDEDELTON, MI, 490468825Browse MI providers · Browse ZIP 49046
- Phone
- 2696231520
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.