Provider Demographics
NPI:1427230473
Name:TYLER, BARBARA J (RECREATIONAL THERAPI)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:TYLER
Suffix:
Gender:F
Credentials:RECREATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W MAIN ST
Mailing Address - Street 2:SUITE G, P.O. BOX 243
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901-2276
Mailing Address - Country:US
Mailing Address - Phone:618-351-9927
Mailing Address - Fax:
Practice Address - Street 1:1400 W MAIN ST
Practice Address - Street 2:SUITE G,
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-2276
Practice Address - Country:US
Practice Address - Phone:618-351-9927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-01
Last Update Date:2007-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist