Individual
DR. KEVIN TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
132 SUNSET CT, SUITE B, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Mailing address
132B SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5901
SC
Other
Enumeration date
01/22/2009
Last updated
02/24/2009
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