Samuel Wat Tyler, PT, DPT
Samuel Wat Tyler, PT, DPT is a Physical Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2020.
- Licensed in
- ID
- In the registry since
- 2020
What do these letters mean?
Practice location Address checks out
703 S Americana Blvd Ste 130Boise, ID 83702-6754
Phone: (208) 706-7530
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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-6569 (ID) |
|---|
Record details
| NPI number | 1245870245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | January 8, 2020 |
| Last updated in NPPES | January 8, 2020 |
| Certification date | January 8, 2020 |
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