Healthcare Provider Details

I. General information

NPI: 1164335428
Provider Name (Legal Business Name): BRYCE PATRICK DYER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S CRAYCROFT RD
TUCSON AZ
85711-7118
US

IV. Provider business mailing address

2429 E ROSEMONTE DR
PHOENIX AZ
85050-3110
US

V. Phone/Fax

Practice location:
  • Phone: 520-495-5050
  • Fax:
Mailing address:
  • Phone: 602-670-6579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: