Individual
TYLER SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1214 S GRANT RD, CARROLL, IA 51401-3102
(712) 792-3311
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102066
IA
Other
Enumeration date
09/01/2020
Last updated
11/30/2020
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