Individual
MR. TYLER HAROLD SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-1667
Mailing address
2020 SW POST OAK RD, LEES SUMMIT, MO 64082-1400
(816) 234-1667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116720
MO
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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