Healthcare Provider Details

I. General information

NPI: 1831026103
Provider Name (Legal Business Name): JOHN TEMPLETON LYLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 E GLENN AVE STE C
AUBURN AL
36830-5730
US

IV. Provider business mailing address

1530 E GLENN AVE STE C
AUBURN AL
36830-5730
US

V. Phone/Fax

Practice location:
  • Phone: 334-502-7839
  • Fax: 334-502-7879
Mailing address:
  • Phone: 334-502-7839
  • Fax: 334-502-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH12665
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: