Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyler Fountain

Individual provider Rehabilitation Practitioner · NPI 1093629164

Tyler Fountain is a Rehabilitation Practitioner in Las Vegas, Nevada. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3065 N Rancho Dr Ste 114
Las Vegas, NV 89130-3355
Phone: (702) 628-9968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1093629164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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