Provider Demographics
NPI:1952825549
Name:CURRY, TYLER BLAINE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:BLAINE
Last Name:CURRY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 W HEBRON LN STE 101
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-7425
Mailing Address - Country:US
Mailing Address - Phone:502-955-7724
Mailing Address - Fax:502-955-5778
Practice Address - Street 1:1868 W HEBRON LN STE 101
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-7425
Practice Address - Country:US
Practice Address - Phone:502-955-7724
Practice Address - Fax:502-955-5778
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist