Individual
TYLER BAUMHOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1101 W CLAY RD, VERSAILLES, MO 60584
(573) 378-5411
Mailing address
1101 W CLAY RD, VERSAILLES, MO 65084-1177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013025652
MO
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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