Individual
TYLER VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1260 W COVELL RD, EDMOND, OK 73003-3555
(405) 471-5522
Mailing address
1260 W COVELL RD, EDMOND, OK 73003-3555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6407
OK
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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