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Individual
TYLER J SMITH
Active
Individual
TYLER J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61005261
WA
225200000X
Physical Therapy Assistant
P160562083
WA
Other
Enumeration date
03/13/2019
Last updated
12/18/2019
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