Dr. Tyler J Blackwelder, DPT
Dr. Tyler J Blackwelder, DPT is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 19
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
827 W Prairie AveHayden, ID 83835-8459
Phone: (208) 819-8486
Fax: (208) 561-7242
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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 PT-2507 (ID) |
|---|
Record details
| NPI number | 1346421021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | November 21, 2007 |
| Last updated in NPPES | May 13, 2024 |
| Certification date | May 13, 2024 |
| Mailing address | 827 W Prairie Ave, Hayden, ID 83835-8459 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hayden
-
Adam Michael Borg, PT
1172 W Hayden Ave, Hayden, ID 83835-8700 · (208) 762-3332
-
Emily Sarah Brown, DPT, OCS
8827 N Government Way, Hayden, ID 83835-8231 · (307) 699-1716
-
Erica Lea Chvilicek, PT
8257 N Cornerstone Dr, Hayden, ID 83835-8683 · (208) 762-0881
-
Clifford L Kiracofe PT PA
8836 N Hess St Ste C, Hayden, ID 83835-8718 · (208) 772-6991