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

TAYLOR RAVOYD LILES, PT, DPT

Active Sole Proprietor

TAYLOR RAVOYD LILES, PT, DPT is a Physical Therapy Assistant healthcare provider located in EIELSON AFB, Alaska. NPI 1699364877 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EIELSON AFB, AK

Registration Details

NPI Number
1699364877
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2021 (5.546464450675 yrs)
Last Updated
Sep 12, 2024
Licenses
174385 (AK)
1377738 (TX)
Sole Proprietor
Yes

Practice Information

Address
2630 CENTRAL AVE
EIELSON AFB, AK, 997022301
Browse AK providers · Browse ZIP 99702
Phone
9073776631
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in EIELSON AFB, AK

Name Credential NPI
CHARLES W. HOULDING MSPT 1083636195
MILES A. STUTES DPT 1376910927
DANIEL BRASWELL PT, DPT, CSCS 1780244863
TURNER ARIZONA MACPHEE DPT 1205406188
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.