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NPI Code Detail

MEDICARE: TYLER FARRIS HEATH DPT

MEDICARE: TYLER FARRIS HEATH 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 Therapist

General Provider Information

NPI Number : 1912862434
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER FARRIS HEATH DPT
Provider Business Mailing Address
First Line : 849 BUFFALO GAP RD
Second Line :
City : TUSCOLA
State : TX
Zip : 79562-2147
Country : US
Telephone Number : 326-660-0047
Fax Number :
Provider Business Practice Location Address
First Line : 76 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7816
Country : US
Telephone Number : 817-419-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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