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Tyler Storm Mathena, DPT

Physical Therapist in Danville, VA. Individual provider (NPI-1).

NPI number1366074585
StatusActive
Last updated in NPPESFeb 5, 2020

Details

NPI
1366074585
Entity type
Individual (NPI-1)
Name
Tyler Storm Mathena
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 5, 2020
Certification date
Feb 5, 2020
Last updated
Feb 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305213407VAYes

Practice location

2140 Franklin Tpke
Danville, VA 24540-5264

Phone 434-836-4158

Mailing address

478 Jeanette Dr
Danville, VA 24540-1049

Phone 434-770-0741

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