Organization
GYMPHYSIO LLC
Active
Organization
GYMPHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYEE CHARLTON DPT (COO)
(314) 537-4958
Entity
Organization
Contact information
Practice address
7537 S RAINBOW BLVD STE 109, LAS VEGAS, NV 89139-0504
(702) 459-2424
Mailing address
7537 S RAINBOW BLVD STE 109, LAS VEGAS, NV 89139-0504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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