Doctor Name: | DR. TYLER JEPSON |
NPI Number: | 1487946521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT-2138 |
Business Practice Address: | 1182 Sw 4th Avenue Ontario, OR - 97914 |
Business Phone Number: | 5418810970 |
Business Fax Number: | 5418810971 |
Mailing Address: | 1182 Sw 4th Avenue, ONTARIO |
State: | OR |
Postal Code: | 97914 |
Phone Number: | 5418810970 |
Fax Number: | 5418810971 |
NPI Enumeration Date: | 05/09/2011 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-2138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |