Organization
TYRE PHYSICAL THERAPY & PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP DAVID TYRE DPT, ATC (OWNER, CEO)
(302) 648-5060
Entity
Organization
Contact information
Practice address
24077 COUNTRY LIVING RD STE 8, MILLSBORO, DE 19966-2852
(410) 251-8189
Mailing address
18 EVERGREEN DR, GEORGETOWN, DE 19947-9483
(410) 251-8189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/01/2021
Last updated
05/09/2024
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