Tye Michael Castle I P.T.A.

NPI 1235367376 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1235367376
Gender Male
Enumeration Date 06/28/2009
Last Updated 06/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4302 PRINCETON ST
LUBBOCK TX, 79415-1304, US
Phone (806) 749-2222
Fax
Business Location
730 MARINUS LN
POCATELLO ID, 83201-2834, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Idaho
License Number PTA-2539
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According to our database, Mr. Tye Michael Castle I P.T.A. NPI is 1235367376, taxonomy code is 225200000X and license number is PTA-2539, license state is located at Idaho. Tye Michael Castle I P.T.A. physically located at 4302 Princeton St, Lubbock TX, 79415-1304. NPI Number Tye Michael Castle I P.T.A. has the Individual type.

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1235367376 NPI number is provided on an as is basis without warranty of any kind. 1235367376 is maintained by the National Plan & Provider Enumeration System. The contents of Tye Michael Castle I P.T.A. are for informational purposes only.