Individual
TYLER COMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4631 W 4450 S, WEST HAVEN, UT 84401-9399
(801) 391-5956
Mailing address
4631 W 4450 S, WEST HAVEN, UT 84401-9399
(801) 391-5956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12319730-2401
UT
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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