National Provider Identifier

Tyler H Edwards, PT, DPT, CSCS

Tyler H Edwards, PT, DPT, CSCS is listed in the NPPES registry with a primary specialty of Physical Therapist in Elmira, NY and a listed phone number of (607) 737-7804.

NPI 1356860910Elmira, NYPhysical Therapist

Profile Overview

NPI
1356860910
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 14, 2017
Last Updated
September 14, 2017

Practice Location

  • 555 Saint Josephs Blvd
  • Elmira, NY 14901-3223

Phone: (607) 737-7804

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1356860910
Entity Type
Individual
Last Name
Edwards
First Name
Tyler
Middle Name
H
Name Prefix
Dr.
Credential
PT, DPT, CSCS
Mailing Street Address
555 Saint Josephs Blvd
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3223
Mailing Country
US
Practice Street Address
555 Saint Josephs Blvd
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3223
Practice Country
US
Practice Phone
(607) 737-7804
Practice Fax
(607) 795-8017
Enumeration Date
September 14, 2017
Last Updated
September 14, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)