Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy B Vyrostek, DCCCSP

Individual provider Chiropractor · NPI 1003929308

Dr. Timothy B Vyrostek, DCCCSP is a Chiropractic in Conneaut Lake, Pennsylvania. Graduated from Palmer College Chiropractic - Davenport in 1997, 29 years ago. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
Palmer College Chiropractic - Davenport
Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

10633 State Highway 18
Conneaut Lake, PA 16316-3225
Phone: (814) 382-1970
Fax: (814) 382-3619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 4038 (PA)
Chiropractor Taxonomy 111N00000X · Licence DC007097L (PA)

Record details

NPI number1003929308
Entity typeIndividual (Type 1)
GenderMale
Credentials DCCCSP
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Also practisesSPORTS MEDICINE
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Conneaut Lake