Tyler Leigh Maynard

NPI #1518481308 in Bryant, Arkansas

Provider Information

NPI Number: 1518481308
Entity Type: Individual
Name: Tyler Leigh Maynard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 2, 2017
Last Updated: Jan 9, 2023

Practice Location

Address: 908 N REYNOLDS RD
City: Bryant
State: Arkansas
ZIP Code: 72022-3034
Phone: (501) 847-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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