Whalio Doctors

NPI 1891991204

Teresa Tyra

Practitioner Physical Therapy Assistant London, KY

Practice location

Address
740 E Laurel Rd, London, KY 40741-8601
Phone
(606) 877-3950
Fax
(606) 877-3956
Mailing address
PO Box 2328, London, KY 40743-2328

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A00638 (KY)

Registry record

NPI
1891991204
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jun 2007
Record last updated
8 Jul 2007

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.