| Doctor Name: | MR. TYLER MARC BOHNET |
| NPI Number: | 1184603821 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT 00008327 |
| Business Practice Address: | 308 N Ivy St Canby, OR - 970133704 |
| Business Phone Number: | 5032636786 |
| Business Fax Number: | 5032636451 |
| Mailing Address: | Po Box 52194, Dept Code 960 PHOENIX |
| State: | AZ |
| Postal Code: | 850722194 |
| Phone Number: | 5034891781 |
| Fax Number: | 5034891650 |
| NPI Enumeration Date: | 01/11/2006 |
| NPI Last Update Date: | 11/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 00008327 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |