Individual
TYLER AUSTIN GREENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1739 S JADE WAY STE 110, MERIDIAN, ID 83642-5898
(208) 207-5454
(208) 600-6064
Mailing address
1739 S JADE WAY STE 110, MERIDIAN, ID 83642-5898
(208) 207-5454
(208) 600-6064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8720
ID
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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