Tyler Lee Holt

NPI #1932869773 in Shawnee, Oklahoma

Provider Information

NPI Number: 1932869773
Entity Type: Individual
Name: Tyler Lee Holt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 21, 2021
Last Updated: Dec 21, 2021

Practice Location

Address: 1010 E 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-2202
Phone: (405) 273-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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