Provider Demographics
NPI:1609761782
Name:TYLER, HUNTER R (DPT)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:R
Last Name:TYLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 FALLS XING
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-4553
Mailing Address - Country:US
Mailing Address - Phone:601-624-5691
Mailing Address - Fax:
Practice Address - Street 1:2990 HIGHWAY 49 S STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-9523
Practice Address - Country:US
Practice Address - Phone:601-891-8179
Practice Address - Fax:601-891-8520
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist