Provider Demographics
NPI:1710742416
Name:ECKER NAYLOR, TYLER (A5299)
Entity Type:Individual
Prefix:MRS
First Name:TYLER
Middle Name:
Last Name:ECKER NAYLOR
Suffix:
Gender:F
Credentials:A5299
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8413 LONDONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1657
Mailing Address - Country:US
Mailing Address - Phone:302-448-6343
Mailing Address - Fax:
Practice Address - Street 1:13620 REESE BLVD E STE 130
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6418
Practice Address - Country:US
Practice Address - Phone:704-274-5795
Practice Address - Fax:704-274-5750
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA5299208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation