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Contact Information

TYLIANS T SMITH, LPTA
12544 FEE FEE RD
SAINT LOUIS, MO63146
 Phone: 850-532-3690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TYLIANS T SMITH · (Male)

NPI Number 1144883893
Status Active
Credentials LPTA
Entity Individual
Enumeration date 04/18/2019
Last updated 04/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017038679
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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