Provider Demographics
NPI:1689809865
Name:HYLAND, TANYA (PT)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:HYLAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11746 W CHENANGO DR
Mailing Address - Street 2:#12
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2036
Mailing Address - Country:US
Mailing Address - Phone:720-810-0441
Mailing Address - Fax:
Practice Address - Street 1:11746 W CHENANGO DR
Practice Address - Street 2:#12
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2036
Practice Address - Country:US
Practice Address - Phone:720-810-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist