Individual
MR. TYLER SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11630 COMMONWEALTH DR, LOUISVILLE, KY 40299-2300
(502) 261-8333
Mailing address
4502 BLENHEIM RD, LOUISVILLE, KY 40207-3416
(501) 922-7219
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
009023
KY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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