Individual
TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2851
(800) 967-4667
Mailing address
717 E ELGIN AVE, SALT LAKE CITY, UT 84106-1601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9832247-2401
UT
Other
Enumeration date
02/23/2022
Last updated
09/11/2023
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