Individual
TYLER IAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12404 S US HIGHWAY 71, GRANDVIEW, MO 64030-1733
(816) 285-0194
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019019252
MO
225100000X
Physical Therapist
P22812
NC
225100000X
Physical Therapist
PT38748
FL
Other
Enumeration date
05/23/2022
Last updated
01/06/2026
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