Individual
TYLER DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6480
(435) 635-6499
Mailing address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6489
(435) 635-6499
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439863
—
AZ
Enumeration date
05/22/2009
Last updated
02/09/2017
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