| Doctor Name: | TYLER CREEL |
| NPI Number: | 1013200674 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA |
| License Number: | |
| Business Practice Address: | 895 Roberta Ln Suite 101 Sparks, NV - 894316802 |
| Business Phone Number: | 7753316252 |
| Business Fax Number: | 7753316250 |
| Mailing Address: | 895 Roberta Ln, Suite 101 SPARKS |
| State: | NV |
| Postal Code: | 894316802 |
| Phone Number: | 7753316252 |
| Fax Number: | 7753316250 |
| NPI Enumeration Date: | 05/16/2011 |
| NPI Last Update Date: | 05/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |