Individual
TYLER MASON WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, PTA
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7000
Mailing address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8133
NC
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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