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NPI Code Detail

MEDICARE: TYLER JOANOU LMT

MEDICARE: TYLER JOANOU LMT
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
1225700000XMassage Therapist32001MT

General Provider Information

NPI Number : 1477487965
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER JOANOU LMT
Provider Business Mailing Address
First Line : 905 W VILLARD ST
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-3965
Country : US
Telephone Number : 602-405-1569
Fax Number :
Provider Business Practice Location Address
First Line : 1811 W KOCH ST
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-4127
Country : US
Telephone Number : 406-577-2650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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