Healthcare Provider Details

I. General information

NPI: 1952265696
Provider Name (Legal Business Name): TYLER ARLINT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 TINA AVE STE 109
MISSOULA MT
59808-1582
US

IV. Provider business mailing address

20722 US HIGHWAY 93 N
MISSOULA MT
59808-8582
US

V. Phone/Fax

Practice location:
  • Phone: 406-396-9418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: