Individual
AUSTIN TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1792 ALYSHEBA WAY, SUITE 140, LEXINGTON, KY 40509-2288
(859) 264-9249
(859) 264-0016
Mailing address
3620 HUMPHREY LN, APT 345, LEXINGTON, KY 40502-3621
(502) 671-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006758
KY
Other
Enumeration date
11/05/2015
Last updated
04/12/2026
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