Tyler Shamblin, DPT
Physical Therapist in South Charleston, WV. Individual provider (NPI-1).
NPI number1417469362
StatusActive
Last updated in NPPESNov 1, 2017
Details
- NPI
- 1417469362
- Entity type
- Individual (NPI-1)
- Name
- Tyler Shamblin
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2017
- Last updated
- Nov 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 003877 | WV | Yes |
Practice location
313 Maccorkle Ave SwSouth Charleston, WV 25303-1263
Phone 304-746-3704 · Fax 304-744-5891
Mailing address
133 Rosemar Rd Ste 1Parkersburg, WV 26104-7609
Phone 304-693-2781 · Fax 304-693-2171
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All 36 Physical Therapist providers in South Charleston · All 2,788 providers in South Charleston
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