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

TYREE L REVANGE

Active

TYREE L REVANGE is a Physical Therapy Assistant healthcare provider located in TALLAHASSEE, Florida. NPI 1649670472 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TALLAHASSEE, FL

Registration Details

NPI Number
1649670472
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2014 (11.984974795865 yrs)
Last Updated
Aug 29, 2014
License
PT29648 (FL)

Practice Information

Address
2410 W PLAZA DR
TALLAHASSEE, FL, 323085325
Browse FL providers · Browse ZIP 32308
Phone
8502856185
Fax
8503852580
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TALLAHASSEE, FL

Name Credential NPI
MR. RENE M LUNA PT 1538168141
MR. PANFILO DEMAGAJES DEMAYO JR. 1912999202
PAMELA ANNE WHITWORTH PT 1649262940
FILNARA F DERRINGTON PT 1801888185
JOSEPH P BECKHAM DPT 1114915642
CHESTER MARK BROWN PT 1457332611
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.