Tyler Red Thorsen

NPI #1063075521 in Rhinelander, Wisconsin

Provider Information

NPI Number: 1063075521
Entity Type: Individual
Name: Tyler Red Thorsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 19, 2019
Last Updated: Apr 19, 2019

Practice Location

Address: 586 SHEPARD ST
City: Rhinelander
State: Wisconsin
ZIP Code: 54501-3552
Phone: (715) 365-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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