MEDICARE: TYLER SCOTT HAWES 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
1	225100000X	Physical Therapist	308511	CA

General Provider Information

NPI Number	:	1720963739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER SCOTT HAWES DPT

Provider Business Mailing Address
First Line	:	424 CLAY ST
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7953
Country	:	US
Telephone Number	:	831-601-1262
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 WILSON RD
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7864
Country	:	US
Telephone Number	:	831-375-1885
Fax Number	:

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

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	08/08/2025

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