Doctor Name: | TYLER AUSTIN ROLETTE |
NPI Number: | 1386070530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 4708 |
Business Practice Address: | 356110 E 930 Rd Stroud, OK - 740795184 |
Business Phone Number: | 9189689531 |
Business Fax Number: | 9189681532 |
Mailing Address: | 356110 E 930 Rd, STROUD |
State: | OK |
Postal Code: | 740795184 |
Phone Number: | 9189689531 |
Fax Number: | 9189681532 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |