Individual
TYLER JACKSON KOLZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7119 E BROADWAY BLVD, TUCSON, AZ 85710-1404
(520) 881-0050
Mailing address
2469 GREEN VALLEY CT, AURORA, IL 60503-5756
(630) 864-7926
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
LPT-31924
AZ
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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