Individual
TYLER MCKENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3309 56TH ST STE 102, GIG HARBOR, WA 98335-8580
(253) 564-2200
Mailing address
3309 56TH ST STE 102, GIG HARBOR, WA 98335-8580
(360) 564-2220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161047132
WA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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