Lotz, Tyler James

Lotz, Tyler James is an individual health care provider with primary practice located at 4340 Ladson Rd Ste B , Ladson SC 29456-6444. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lotz, Tyler James can be contacted via phone (433) 765-0568.

Contact Information

Primary practice address
4340 Ladson Rd Ste B Ladson SC 29456-6444
Phone: (433) 765-0568
Fax: (843) 376-2730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 27355 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10386 South Carolina

Profile Details

NPI number 1679039028
LBN Legal business name Lotz, Tyler James
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2019
Last updated Jun 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679039028 NPPES
South Carolina MEDICAID TH4327

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