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NPI Code Detail

MEDICARE: TYLER GODSEY DPT

MEDICARE: TYLER GODSEY DPT
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
1225100000XPhysical TherapistPT022133OH

General Provider Information

NPI Number : 1659231629
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER GODSEY DPT
Provider Business Mailing Address
First Line : 6551 CENTERVILLE BUSINESS PKWY STE 120
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2696
Country : US
Telephone Number : 937-415-9100
Fax Number : 937-415-9191
Provider Business Practice Location Address
First Line : 4160 LITTLE YORK RD STE 10
Second Line :
City : DAYTON
State : OH
Zip : 45414-5803
Country : US
Telephone Number : 937-415-9100
Fax Number : 937-415-9191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 12/16/2025

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Directions to “ TYLER GODSEY DPT” Practice Location

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