| NPI | 1760280481 |
|---|---|
| Professional Name | TYLER EMERSON MELLECKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 27302) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 27302) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |