TYLIANS T SMITH

SAINT LOUIS, MO
NPI1144883893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2017038679)
Enumeration Date2019-04-18
Last Update Date2019-04-22
Business Address
TYLIANS T SMITH LPTA
12544 FEE FEE RD
SAINT LOUIS, MO 63146
Phone number: 850-532-3690
Mailing Address
TYLIANS T SMITH LPTA
12544 FEE FEE RD
SAINT LOUIS, MO 63146-3808
Phone number: 850-532-3690