Individual
TYLER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048345
NY
225100000X
Physical Therapist
070.025922
IL
225100000X
Physical Therapist
Primary
1244890
TX
225100000X
Physical Therapist
PT029569
PA
Other
Enumeration date
08/14/2014
Last updated
03/15/2022
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