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NPI Code Detail

MEDICARE: ASHTON PARRISH TYLER PT, DPT

MEDICARE:   ASHTON PARRISH TYLER  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 TherapistP21961NC

General Provider Information

NPI Number : 1649976937
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON PARRISH TYLER PT, DPT
Provider Business Mailing Address
First Line : 3320 MIDVALE DR APT 1001
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-3820
Country : US
Telephone Number : 336-793-6875
Fax Number :
Provider Business Practice Location Address
First Line : 2701 CHESTNUT STATION CT
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6395
Country : US
Telephone Number : 800-335-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2023
Last Update Date : 01/14/2026

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