Tom Lyle, ATC

NPI #1598730434 in Flagstaff, Arizona

Provider Information

NPI Number
1598730434
Entity Type
Individual
Name
Tom Lyle, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist
Credential
ATC
Enumeration Date
Feb 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
400 W ELM AVE
Address 2
FLAGSTAFF HIGH SCHOOL
State
Arizona
ZIP Code
86001-1562
Phone
(928) 527-1531

Specialties & Taxonomy Codes

Specialty
Specialist

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