Individual
TYLER TABARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 342-4100
Mailing address
2819 WEST LAKE DR, EMPORIA, KS 66801-5935
(620) 794-7095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06303
KS
Other
Enumeration date
06/11/2020
Last updated
11/15/2022
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