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Individual
TYLER CLIFTON
Active
Individual
TYLER CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT BSK
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60649526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60649526
PHYSICAL THERAPY LICENSE
WA
Enumeration date
06/24/2016
Last updated
06/24/2016
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