Individual
TYLER JEFFREY WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
117 MCNARY ESTATES DR N, KEIZER, OR 97303-7459
(503) 400-7717
(503) 400-6022
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 682-8840
(423) 602-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62770
OR
Other
Enumeration date
06/08/2018
Last updated
08/21/2019
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