TYLER J BLACKWELDER

HAYDEN, ID
NPI1346421021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2507)
Enumeration Date2007-11-21
Last Update Date2024-05-13
Business Address
Dr. TYLER J BLACKWELDER DPT
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-819-8486
Mailing Address
Dr. TYLER J BLACKWELDER DPT
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-758-0484
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