Tyler Doughty

NPI #1467869990 in Mattoon, Illinois

Provider Information

NPI Number: 1467869990
Entity Type: Individual
Name: Tyler Doughty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 16, 2014
Last Updated: Jul 16, 2014

Practice Location

Address: 1213 ANNIS AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-6016
Phone: (217) 246-7963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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