Individual
TYLER WILLIAM MAHARREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 W 13TH ST, JASPER, IN 47546-1881
(812) 482-7441
Mailing address
998 S STATE ROAD 61, WINSLOW, IN 47598-8455
(812) 582-0997
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
06005989A
IN
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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