Individual
TYLER JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
Mailing address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012-19
WI
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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