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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER WILLIAM MAHARREY, PTA

Active

TYLER WILLIAM MAHARREY, PTA is a Sports Medicine (PM&R) healthcare provider located in JASPER, Indiana. NPI 1366084915 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · JASPER, IN

Registration Details

NPI Number
1366084915
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2019 (6.8713976582618 yrs)
Last Updated
Oct 15, 2019
License
06005989A (IN)

Practice Information

Address
600 W 13TH ST
JASPER, IN, 475461881
Browse IN providers · Browse ZIP 47546
Phone
8124827441
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.