| Doctor Name: | TYLER CLYDE CONDON |
| NPI Number: | 1467714451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1104396 |
| Business Practice Address: | 550 N Andover Rd Andover, KS - 670029712 |
| Business Phone Number: | 3162020195 |
| Business Fax Number: | 3162020196 |
| Mailing Address: | 200 W Douglas Ave, Ste 1040 WICHITA |
| State: | KS |
| Postal Code: | 672023013 |
| Phone Number: | 3162630003 |
| Fax Number: | 3162631241 |
| NPI Enumeration Date: | 06/14/2012 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1104396 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| 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 |