Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aundrea Renee Tyner, PT

Individual provider Physical Therapist · NPI 1164869400

Aundrea Renee Tyner, PT is a Physical Therapist in Lakeport, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

381 Lakeport Blvd
Lakeport, CA 95453-5412
Phone: (707) 263-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40130 (CA)

Record details

NPI number1164869400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 28, 2013
Last updated in NPPESDecember 21, 2015
Mailing address381 Lakeport Blvd, Lakeport, CA 95453-5412

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