MEDICARE: DR. AMY KATHRYN TYLER N.D.

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
1	175F00000X	Naturopath	099.0073455	VT

General Provider Information

NPI Number	:	1295913150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY KATHRYN TYLER N.D.

Provider Business Mailing Address
First Line	:	5920 LOMITA VERDE CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-4203
Country	:	US
Telephone Number	:	512-669-1374
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 BRODIE LN STE NO1021
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5803
Country	:	US
Telephone Number	:	512-607-4321
Fax Number	:	512-607-4321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2008
Last Update Date	:	01/29/2024

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