Individual
TYEE CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4765 S DURANGO DR STE 106, LAS VEGAS, NV 89147-8158
(702) 898-7633
(702) 898-6433
Mailing address
4765 S DURANGO DR STE 106, LAS VEGAS, NV 89147-8158
(702) 898-7633
(702) 898-6433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2821
NV
225100000X
Physical Therapist
Primary
PT60698384
WA
Other
Enumeration date
06/06/2013
Last updated
04/02/2019
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