Individual
TYLER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1770 BARLEY RD, YORK, PA 17408-2223
(717) 767-6530
Mailing address
1770 BARLEY RD, YORK, PA 17408-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005118
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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