Individual provider · NPI-1

Tyler Alexander, PTA

Physical Therapy Assistant · Houston, TX

NPI number1407481799
StatusActive
Last updated in NPPESMar 6, 2020

Details

NPI
1407481799
Entity type
Individual (NPI-1)
Name
Tyler Alexander
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 6, 2020
Certification date
Mar 6, 2020
Last updated
Mar 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2152786TXYes

Practice location

4818 E Sam Houston Pkwy N
Houston, TX 77015-3240

Phone 713-773-5110

Mailing address

14807 Woodland Hills Dr
Humble, TX 77396-4654

Phone 832-221-2460

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