Tyler Baumhoer, PTA

NPI #1710385109 in Versailles, Missouri

Provider Information

NPI Number: 1710385109
Entity Type: Individual
Name: Tyler Baumhoer, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 17, 2014
Last Updated: Dec 17, 2014

Practice Location

Address: 1101 W CLAY RD
City: Versailles
State: Missouri
ZIP Code: 60584
Phone: (573) 378-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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