Individual
RACHEL GRACE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
470 GARFIELD AVE, EVANSVILLE, WI 53536-1014
(608) 882-6557
Mailing address
1707 BARHAM AVE, JANESVILLE, WI 53548-1510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1243-019
WI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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