Individual
TYLER BELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 OVERBROOK DR, MACON, MO 63552-2213
(660) 651-7419
Mailing address
1005 OVERBROOK DR, MACON, MO 63552-2213
(660) 651-7419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021987
IL
225100000X
Physical Therapist
2015027077
MO
225100000X
Physical Therapist
5069
OK
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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