Individual
DR. COREY TYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9913 214TH ST W, LAKEVILLE, MN 55044-4464
(952) 985-2020
Mailing address
9913 214TH ST W, LAKEVILLE, MN 55044-4464
(952) 985-2020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12182
MN
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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