NPI 1023566676

Tyler Vannucci, LATATC

Practitioner Athletic Trainer Pittsburgh, PA

Practice location

Address: 3609 Dawson St APT 6, Pittsburgh, PA 15213-4143
Phone: (717) 406-8240

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT007267 (PA)

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Registry record

NPI: 1023566676
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2016
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.