Provider Demographics
NPI:1750941480
Name:ORMSBY, TYLER LAURENCE (DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:LAURENCE
Last Name:ORMSBY
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 1:2900 SUNRIDGE HEIGHTS PKWY APT 218
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4471
Mailing Address - Country:US
Mailing Address - Phone:435-740-0191
Mailing Address - Fax:
Practice Address - Street 1:10301 JEFFREYS ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3922
Practice Address - Country:US
Practice Address - Phone:702-939-9400
Practice Address - Fax:702-939-9746
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist