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NPI Code Detail

MEDICARE: TYLER JORDAN HARRINGTON PT,DPT

MEDICARE: TYLER JORDAN HARRINGTON PT,DPT
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
1225100000XPhysical Therapist5501016302MI

General Provider Information

NPI Number : 1437591351
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER JORDAN HARRINGTON PT,DPT
Provider Business Mailing Address
First Line : 8599 ASHLAND PL
Second Line :
City : FREELAND
State : MI
Zip : 48623-9133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2438
Country : US
Telephone Number : 989-797-6040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2013
Last Update Date : 05/28/2015

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