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Individual

HYRUM R TENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
300 E GURLEY ST, PRESCOTT, AZ 86301-3823
(928) 445-5400
Mailing address
281 MOUNTAIN MYRTLE CIR, PRESCOTT, AZ 86301-5491
(928) 277-9003

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7612
AZ
225100000X
Physical Therapist
Primary
7612
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7612
STATE LICENSE
AZ
Enumeration date
02/28/2007
Last updated
08/27/2025
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