Individual
TYLAN PHILLIP PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24007 BUSINESS HIGHWAY 71, MARYVILLE, MO 64468-8235
(660) 224-0107
(660) 224-0108
Mailing address
31021 US HIGHWAY 136, MARYVILLE, MO 64468-7258
(660) 254-4195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024032328
MO
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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