Provider Demographics
NPI:1346947017
Name:PRICE, TYLER DEAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:DEAN
Last Name:PRICE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N DOOLEY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-9207
Mailing Address - Country:US
Mailing Address - Phone:817-481-3451
Mailing Address - Fax:817-481-2543
Practice Address - Street 1:204 N DOOLEY ST STE 300
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-9207
Practice Address - Country:US
Practice Address - Phone:817-481-3451
Practice Address - Fax:817-481-2543
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1372653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist