Individual
MR. RAYMOND TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.M.T.
Contact information
Practice address
31822 GRAND RIVER AVE, FARMINGTON, MI 48336-4124
(248) 508-6528
Mailing address
31822 GRAND RIVER AVE, FARMINGTON, MI 48336-4124
(248) 508-6528
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
ABMP 458860
MI
225700000X
Massage Therapist
Primary
ABMP 458860
MI
Other
Enumeration date
02/02/2010
Last updated
10/12/2010
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