Individual
MR. TYLER JAMES WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 236-5884
(308) 236-9621
Mailing address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 236-5884
(308) 236-9621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2755
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2755
LICENSE
NE
01
—
47598
BCBS
NE
Enumeration date
10/16/2009
Last updated
10/24/2022
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