Individual
TANYA SHYLO CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6868 W REDWOOD CREEK DR, MERIDIAN, ID 83646-1768
(620) 331-7009
Mailing address
6868 W REDWOOD CREEK DR, MERIDIAN, ID 83646-1768
(620) 331-7009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7879
ID
Other
Enumeration date
11/06/2023
Last updated
04/15/2025
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