Individual
TYLER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC
Contact information
Practice address
674 OLLIE AVE, CLANTON, AL 35045-2246
(205) 280-1100
(205) 280-1575
Mailing address
674 OLLIE AVE, CLANTON, AL 35045-2246
(205) 280-1575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11915
AL
2255A2300X
Athletic Trainer
1503
AL
Other
Enumeration date
10/24/2014
Last updated
08/29/2024
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