MRS. Jere Nell Tyler, PT

NPI #1871816728 in Bloomfield, New Mexico

Provider Information

NPI Number: 1871816728
Entity Type: Individual
Name: MRS. Jere Nell Tyler, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 7, 2010
Last Updated: Mar 7, 2010

Practice Location

Address: 82 ROAD 5151
City: Bloomfield
State: New Mexico
ZIP Code: 87413-9700
Phone: (505) 330-9884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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