National Provider Identifier
Katie Elizabeth Tyner, DPT
Katie Elizabeth Tyner, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 368-6860.
Profile Overview
- NPI
- 1770862203
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 15, 2011
- Last Updated
- December 23, 2015
Practice Location
- 6668 Fourth Section RD
- Brockport, NY 14420-2448
Phone: (585) 368-6860
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1770862203
- Entity Type
- Individual
- Last Name
- Tyner
- First Name
- Katie
- Middle Name
- Elizabeth
- Credential
- DPT
- Mailing Street Address
- 6668 Fourth Section RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2448
- Mailing Country
- US
- Mailing Phone
- (585) 368-6860
- Mailing Fax
- (585) 368-6861
- Practice Street Address
- 6668 Fourth Section RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2448
- Practice Country
- US
- Practice Phone
- (585) 368-6860
- Practice Fax
- (585) 368-6861
- Enumeration Date
- August 15, 2011
- Last Updated
- December 23, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)