MEDICARE: TYLER LEDFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073445433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER LEDFORD

Provider Business Mailing Address
First Line	:	1786 WILMINGTON W CHESTER PIKE STE 200A
Second Line	:
City	:	GLEN MILLS
State	:	PA
Zip	:	19342-8198
Country	:	US
Telephone Number	:	484-841-6154
Fax Number	:	484-841-6174

Provider Business Practice Location Address
First Line	:	1786 WILMINGTON W CHESTER PIKE STE 200A
Second Line	:
City	:	GLEN MILLS
State	:	PA
Zip	:	19342-8198
Country	:	US
Telephone Number	:	484-841-6154
Fax Number	:	484-841-6174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ TYLER LEDFORD ” Practice Location

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