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Individual
TYLER JAMES SMITH
Active
Individual
TYLER JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108657
IA
261QP2000X
Physical Therapy Clinic/Center
108657
IA
Other
Enumeration date
08/26/2021
Last updated
10/20/2022
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