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

Tyler Rodericks, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1760045447

Tyler Rodericks, DPM is a Podiatry in Puyallup, Washington. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2020, 6 years ago. Licensed in Washington.

Years since qualifying
6
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
WA
In the registry since
2019
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1450 5th St SE Ste 4400
Puyallup, WA 98372-4691
Phone: (253) 848-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PODI.PO.61529920 (WA)

Record details

NPI number1760045447
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address1450 5th St Se Ste 4400, Puyallup, WA 98372-4691

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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