Tyler Marshall, PT, DPT, SCS, OMT-C,
Physical Therapist in Columbus, OH. Individual provider (NPI-1).
NPI number1497409239
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1497409239
- Entity type
- Individual (NPI-1)
- Name
- Tyler Marshall
- Credential
- PT, DPT, SCS, OMT-C,
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2022
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 017233 | OH | Yes |
Practice location
4200 Regent St Ste 200Columbus, OH 43219-6229
Phone 866-839-6979
Mailing address
8479 Denallen DrCincinnati, OH 45255-2677
Phone 321-759-3988
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