Provider Demographics
NPI:1740642305
Name:TYE, JANE STRICKLER (PT)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:STRICKLER
Last Name:TYE
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 1:3588 E SALINAS CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-3953
Mailing Address - Country:US
Mailing Address - Phone:937-219-8290
Mailing Address - Fax:
Practice Address - Street 1:4381 TONAWANDA TRL
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45430-1961
Practice Address - Country:US
Practice Address - Phone:937-426-5033
Practice Address - Fax:937-426-9044
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist