Tyler Shea

NPI #1457941015 in Ashland, Virginia

Provider Information

NPI Number: 1457941015
Entity Type: Individual
Name: Tyler Shea
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 19, 2021
Last Updated: Jan 19, 2021

Practice Location

Address: 13165 LUCK BROTHERS DR
City: Ashland
State: Virginia
ZIP Code: 23005-1129
Phone: (804) 387-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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