Individual
TYLER VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9879 KY ROUTE 122, MC DOWELL, KY 41647-6026
(606) 377-3431
(606) 377-3489
Mailing address
PO BOX 247, MC DOWELL, KY 41647-0247
(606) 377-3431
(606) 377-3489
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02777
KY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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