Individual
MARY MCKINNEY TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT CHT
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1051555
TX
225100000X
Physical Therapist
944
OK
2251H1200X
Hand Physical Therapist
Primary
9410000128
TX
Other
Enumeration date
04/19/2006
Last updated
11/20/2019
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