Tyler Waite, MS, ATC, LAT
NPI #1972992550 in Villanova, Pennsylvania
Provider Information
- NPI Number
- 1972992550
- Entity Type
- Individual
- Name
- Tyler Waite, MS, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, LAT
- Enumeration Date
- Jan 20, 2015
- Last Updated
- Jan 20, 2015
Practice Location
- Address
- 800 E LANCASTER AVE
- Address 2
- JAKE NEVIN FIELD HOUSE
- City
- Villanova
- State
- Pennsylvania
- ZIP Code
- 19085-1603
- Phone
- (610) 519-5384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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