Wayne Bradshaw Fancher III, DPT, PT

NPI #1992214209 in Tyler, Texas

Provider Information

NPI Number: 1992214209
Entity Type: Individual
Name: Wayne Bradshaw Fancher III, DPT, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, PT
Enumeration Date: Sep 29, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 11466 HONOR LN
City: Tyler
State: Texas
ZIP Code: 75708-3296
Phone: (903) 617-6150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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