Individual
JOHN TYSCHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1134
Mailing address
241 IVY BEND CIR, CLARKSVILLE, TN 37043-6860
(239) 357-3264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22131
FL
Other
Enumeration date
04/03/2009
Last updated
10/01/2024
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