Individual
MR. TYLER HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1967 N CAIRNS WAY, MERIDIAN, ID 83646-1360
(208) 406-1968
Mailing address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-4640
ID
225100000X
Physical Therapist
PT4640
ID
2251P0200X
Pediatric Physical Therapist
Primary
PT-4640
ID
Other
Enumeration date
08/15/2016
Last updated
02/17/2026
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