NPI 1003120320

Tyler Donald Bolley, DPT

Practitioner Physical Therapist Plymouth, MI

Practice location

Address: 9368 N Lilley Rd, Plymouth, MI 48170-4610
Phone: (734) 416-3900
Fax: (734) 416-3903

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501015257 (MI)

Other Physical Therapist providers in Michigan →

Registry record

NPI: 1003120320
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2010
Record last updated: 28 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.