NPI 1134865140

Tyler Gene Wells, CPO

Practitioner Prosthetist West Palm Beach, FL

Practice location

Address: 901 45th Street Kimmel Building, West Palm Beach, FL 33407
Phone: (561) 844-5255
Fax: (561) 844-5245
Mailing address: 667 Blue Jay Rd, Delray Beach, FL 33444-1821

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR346 (FL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence POR346 (FL)

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Registry record

NPI: 1134865140
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2022
Record last updated: 11 May 2022

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.