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Individual

SCOTT W TYREE

Active
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Individual

SCOTT W TYREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2256
WV
225100000X
Physical Therapist
25452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722114
BLUE CROSS BLUE SHIELD
WV
01
—
204132970
WV WORKERS COMP
WV
05
—
2204007002
—
WV
Enumeration date
10/31/2006
Last updated
05/18/2010
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