Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON WALLACE TYLER, DPT
ActiveDR. JACKSON WALLACE TYLER, DPT is a Physical Therapy Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1518411818 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHARLESTON, SC
Registration Details
- NPI Number
- 1518411818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2016 (10.036993590495 yrs)
- Last Updated
- Jan 6, 2022
- Licenses
-
8153 (SC)PTL.0018085 (CO)
Practice Information
- Address
-
445 SAVANNAH HWYCHARLESTON, SC, 29407Browse SC providers · Browse ZIP 29407
- Phone
- 8437662121
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| KELLY J LENZ | PT | 1891775045 |
| MR. THOMAS J SCOTT | PT | 1285608117 |
| AMANDA HEYBOER | M.P.T. | 1457317836 |
| DR. MICHAEL JOHN BRAUN | DPT | 1174581961 |
| MS. CYNTHIA POLIARD | PT | 1740238567 |
| MRS. MARILYN SWYGERT | PT | 1619903366 |
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.