National Provider Identifier

Tyler Thomas, CRPA-T

Tyler Thomas, CRPA-T is listed in the NPPES registry with a primary specialty of Peer Specialist in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1801386396Ithaca, NYPeer Specialist

Profile Overview

NPI
1801386396
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
May 10, 2018
Last Updated
May 10, 2018

Practice Location

  • 201 E Green St
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1801386396
Entity Type
Individual
Last Name
Thomas
First Name
Tyler
Credential
CRPA-T
Mailing Street Address
201 E Green St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5635
Mailing Country
US
Mailing Phone
(607) 274-6288
Practice Street Address
201 E Green St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5635
Practice Country
US
Practice Phone
(607) 274-6288
Enumeration Date
May 10, 2018
Last Updated
May 10, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)