Individual
TYLER RAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 STEVEN DR, COLORADO SPRINGS, CO 80911-1553
(719) 213-7310
Mailing address
217 STEVEN DR, COLORADO SPRINGS, CO 80911-1553
(719) 213-7310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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