Individual
TYLER SHAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2075 UNIVERSITY PARK BLVD, LAYTON, UT 84041-1611
(801) 779-6366
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12324708-2401
UT
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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