Individual
JOEL TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-2415
Mailing address
2440 OAK LEAF TRL, CLEBURNE, TX 76031-7877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2039238
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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