Individual
TYSON CARTER CRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
102 MEDICAL CENTER DR STE G, PRATTVILLE, AL 36066-7286
(334) 239-0708
(334) 440-8233
Mailing address
302 TAPIA LN, PRATTVILLE, AL 36067-6992
(334) 546-8822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4381
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH4381
LICENSE #
AL
Enumeration date
08/29/2006
Last updated
06/03/2024
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