Individual
TYLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 W LAKE LANSING RD, EAST LANSING, MI 48823-1445
(517) 337-0475
Mailing address
715 W LAKE LANSING RD, EAST LANSING, MI 48823-1445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005246
MI
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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