Individual
NANCY L TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1204 FRYE ST, ATHENS, TN 37303-3052
(423) 745-0434
Mailing address
3870 BOW ST NE, CLEVELAND, TN 37312-4801
(423) 476-1467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000184
TN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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