Healthcare Provider Details

I. General information

NPI: 1942121876
Provider Name (Legal Business Name): TYLER J HORSCH LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 WESTFIELD RD
SCOTCH PLAINS NJ
07076-2120
US

IV. Provider business mailing address

707 MCCANDLESS PL
LINDEN NJ
07036-1234
US

V. Phone/Fax

Practice location:
  • Phone: 908-889-8600
  • Fax:
Mailing address:
  • Phone: 908-472-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number25MT00290300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: