NPI 1629593454
Wesley Tyler
Practice location
- Address
- 9139b Trinity Rd, Charlotte, NC 28216-1900
- Phone
- (336) 324-1617
- Mailing address
- 12241 Savannah Garden Dr, Charlotte, NC 28273-3904
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1629593454
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Aug 2017
- Record last updated
- 14 Aug 2017
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.