TYLER J. LARSON

IDAHO FALLS, ID
NPI1346626652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4158)
Enumeration Date2015-08-10
Last Update Date2015-08-31
Business Address
-- TYLER J. LARSON DPT
3155 CHANNING WAY STE D
IDAHO FALLS, ID 83404-7534
Phone number: 208-552-2700
Mailing Address
-- TYLER J. LARSON DPT
1560 S CAROL ST
MERIDIAN, ID 83646-1839
Phone number: 208-288-1155
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