Individual
TYLER JAMES BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1398
(920) 685-2755
Mailing address
487 SECURITY BLVD UNIT 16, HOWARD, WI 54313-2703
(920) 450-2890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2904
WI
Other
Enumeration date
08/28/2020
Last updated
09/28/2023
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