Individual
TYLER B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 W GUADALUPE RD STE 19, MESA, AZ 85202-7245
(210) 412-3439
Mailing address
2655 W GUADALUPE RD STE 19, MESA, AZ 85202-7245
(210) 412-3439
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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