Tyler Donald Bolley, DPT

NPI #1003120320 in Plymouth, Michigan

Provider Information

NPI Number: 1003120320
Entity Type: Individual
Name: Tyler Donald Bolley, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 9368 N LILLEY RD
City: Plymouth
State: Michigan
ZIP Code: 48170-4610
Phone: (734) 416-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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