Charles Jeffrey Tyree, PTA

NPI #1588270649 in Mount Vernon, Kentucky

Provider Information

NPI Number: 1588270649
Entity Type: Individual
Name: Charles Jeffrey Tyree, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 23, 2020
Last Updated: Sep 23, 2020

Practice Location

Address: 145 NEWCOMB AVE
City: Mount Vernon
State: Kentucky
ZIP Code: 40456-2728
Phone: (606) 256-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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