DR. Tyler J Blackwelder, DPT

NPI #1346421021 in Hayden, Idaho

Provider Information

NPI Number
1346421021
Entity Type
Individual
Name
DR. Tyler J Blackwelder, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 21, 2007
Last Updated
May 13, 2024

Practice Location

Address
827 W PRAIRIE AVE
City
Hayden
State
Idaho
ZIP Code
83835-8459
Phone
(208) 819-8486

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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