NPI 1063042471

Karissa Bolyog

Practitioner Physical Therapy Assistant Tyler, TX

Practice location

Address: 9846 Highway 31 E, Tyler, TX 75705-2329
Phone: (903) 592-8001

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2152478 (TX)

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Registry record

NPI: 1063042471
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2020
Record last updated: 24 Jan 2020

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.