Individual
TYSON COPENHAVER CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7036 LINCOLN ROAD, BISMARCK, ND 58504
(406) 390-4255
Mailing address
3451 N 14TH ST STE C, BISMARCK, ND 58503-1675
(406) 390-4255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2650
ND
2251S0007X
Sports Physical Therapist
Primary
2650
ND
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/15/2019
Last updated
06/21/2023
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