Healthcare Provider Details

I. General information

NPI: 1003423864
Provider Name (Legal Business Name): TYLER ARNDT PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 UNIVERSITY AVE STE 140
SACRAMENTO CA
95825-6506
US

IV. Provider business mailing address

425 UNIVERSITY AVE STE 140
SACRAMENTO CA
95825-6506
US

V. Phone/Fax

Practice location:
  • Phone: 916-927-1333
  • Fax: 916-927-1586
Mailing address:
  • Phone: 916-927-1333
  • Fax: 916-927-1586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number299204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: