Individual
DR. TYLER LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 INDIAN HILLS DR, MACY, NE 68039-3023
(402) 837-5381
Mailing address
100 INDIAN HILLS DR, P.O. BOX 250, MACY, NE 68039-3023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3337
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337
STATE OF NEBRASKA
NE
Enumeration date
06/13/2014
Last updated
06/13/2014
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