Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JEFFREY TYREE, PTA
Active Sole ProprietorCHARLES JEFFREY TYREE, PTA is a Occupational Therapist healthcare provider located in MOUNT VERNON, Kentucky. NPI 1588270649 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOUNT VERNON, KY
Registration Details
- NPI Number
- 1588270649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2020 (5.8828259042099 yrs)
- Last Updated
- Sep 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 NEWCOMB AVEMOUNT VERNON, KY, 404562728Browse KY providers · Browse ZIP 40456
- Phone
- 6062562195
- Primary Specialty
-
Occupational Therapist
225200000X
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.