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Individual

TYLER MICHAEL MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
400 E 10TH ST, ANNISTON, AL 36207-4716
(256) 235-5860
Mailing address
PO BOX 1380, ANNISTON, AL 36202-1380
(256) 235-5860

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2072
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
98783
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/22/2007
Last updated
03/10/2023
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