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NPI Code Detail

MEDICARE: TYLER J BROWN PT, DPT

MEDICARE: TYLER J BROWN PT, 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
12251P0200XPediatric Physical Therapist6321NV
2225100000XPhysical Therapist6321NV

General Provider Information

NPI Number : 1932977329
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER J BROWN PT, DPT
Provider Business Mailing Address
First Line : 3884 RANCHO NIGUEL PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8015
Country : US
Telephone Number : 702-715-8537
Fax Number :
Provider Business Practice Location Address
First Line : 3920 W CHARLESTON BLVD STE Y
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 818-894-2273
Fax Number : 818-357-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 05/14/2026

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Directions to “ TYLER J BROWN PT, DPT” Practice Location

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