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Individual
DR. TYLER SHAWN PORTER
Active
Individual
DR. TYLER SHAWN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MED
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1400697
TX
225100000X
Physical Therapist
Primary
2305216214
VA
225100000X
Physical Therapist
CP031442T
WA
225100000X
Physical Therapist
CP038518T
CO
225100000X
Physical Therapist
CP054917T
NC
225100000X
Physical Therapist
P22776
NC
Other
Enumeration date
11/30/2023
Last updated
08/19/2026
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