Individual
TYLER AUSTIN ZITKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
51600 HUNTINGTON RD STE 103, LA PINE, OR 97739-8887
(541) 536-7443
Mailing address
954 SW EMKAY DR APT 445, BEND, OR 97702-0809
(623) 271-2907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65551
OR
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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