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

Austin Tyler Gore

Individual provider Physical Therapy Assistant · NPI 1669395166

Austin Tyler Gore is a Physical Therapy Assistant in Saint Clair, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
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Practice location Address checks out

1206 Cedar St
Saint Clair, MI 48079-4950
Phone: (810) 289-9317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502006176 (MI)

Record details

NPI number1669395166
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address1206 Cedar St, Saint Clair, MI 48079-4950

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