Individual
TYLER KENNETH SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
14505 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-5795
(623) 975-8100
Mailing address
16957 N 181ST DR, SURPRISE, AZ 85388-1684
(623) 755-1109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014166
AZ
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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