Individual
MR. TYLER ROBERT, LEE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3999 HWY 47 N, RHINELANDER, WI 54501-8827
(715) 966-9789
Mailing address
315 N BROWN ST, RHINELANDER, WI 54501-3104
(715) 482-0161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015738
MI
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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