Individual
TYLER SKANCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3155 CHANNING WAY STE D, IDAHO FALLS, ID 83404-7875
(208) 552-2700
Mailing address
3155 CHANNING WAY STE D, IDAHO FALLS, ID 83404-7875
(208) 552-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1802839-2401
UT
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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