Individual
TYLER ALLEN TRUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(130) 787-0253
Mailing address
1725 TEXAS WAY, GREEN RIVER, WY 82935-6222
(307) 870-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1959
WY
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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