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1700289055
TYLER NIEMACK
WHEAT RIDGE, CO
NPI
1700289055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60492910)
Enumeration Date
2014-10-01
Last Update Date
2023-04-25
Business Address
TYLER NIEMACK DPT
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033-6028
Phone number: 303-665-2603
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Mailing Address
TYLER NIEMACK DPT
4040 ORCHARD ST W STE. 100
FIRCREST, WA 98466-6606
Phone number: 253-564-1560
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