Individual
TYLER PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
40 S BRIDGE ST, SAINT ANTHONY, ID 83445-2130
(208) 624-4008
Mailing address
328 CUL DE SAC DR, REXBURG, ID 83440-1429
(208) 840-1950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-8958
ID
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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