National Provider Identifier
Tyler Miller
Tyler Miller is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Ithaca, NY and a listed phone number of (607) 266-5300.
Profile Overview
- NPI
- 1114418126
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 24, 2018
- Last Updated
- May 24, 2018
Practice Location
- 2230 N Triphammer RD
- Ithaca, NY 14850-6513
Phone: (607) 266-5300
Mailing Address
- 83 S 4Th Ave
- Ilion, NY 13357-2013
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1114418126
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Tyler
- Mailing Street Address
- 83 S 4Th Ave
- Mailing City
- Ilion
- Mailing State
- NY
- Mailing ZIP Code
- 13357-2013
- Mailing Country
- US
- Mailing Phone
- (315) 790-0998
- Practice Street Address
- 2230 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-6513
- Practice Country
- US
- Practice Phone
- (607) 266-5300
- Enumeration Date
- May 24, 2018
- Last Updated
- May 24, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)