Provider Demographics
NPI:1982086260
Name:LUKE, TYLER MICHAEL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:MICHAEL
Last Name:LUKE
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 1:799 E HAMPDEN AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2762
Mailing Address - Country:US
Mailing Address - Phone:720-328-5055
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:799 E HAMPDEN AVE STE 303
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2762
Practice Address - Country:US
Practice Address - Phone:720-328-5055
Practice Address - Fax:423-238-3473
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11105225100000X
COPTL0013390225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist