Individual
TYLER MANRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2101 HOMESTEAD HILLS DR, WINSTON SALEM, NC 27103-6445
(336) 659-0386
Mailing address
5095 DOCK DAVIS RD, CLEMMONS, NC 27012-8783
(336) 830-5062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5618
NC
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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