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Individual

TYLER J SMITH

Active
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Individual

TYLER J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0400003612
VT
225100000X
Physical Therapist
Primary
11612
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068268
BLUE CROSS BLUE SHIELD OF
—
05
—
1010909
—
VT
01
—
7277652
AETNA
—
01
—
782961
MVP
—
Enumeration date
07/29/2006
Last updated
12/04/2017
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