Individual
TYLER DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 W EMELITA AVE, MESA, AZ 85202-4034
(877) 407-3422
Mailing address
711 N EVERGREEN RD APT 1098, MESA, AZ 85201-7528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12012A
AZ
225200000X
Physical Therapy Assistant
Primary
PTA-012012
AZ
Other
Enumeration date
02/08/2016
Last updated
07/29/2026
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