Individual
DR. TYLER LAWRENCE WASMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19049 E VALLEY VIEW PKWY, STE H, INDEPENDENCE, MO 64055-7026
(816) 795-8944
(816) 795-8633
Mailing address
19049 E VALLEY VIEW PKWY, STE H, INDEPENDENCE, MO 64055-7026
(816) 795-8944
(816) 795-8633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008025216
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-6648
MEDICARE GROUP NUMBER
MO
Enumeration date
05/12/2009
Last updated
05/12/2009
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