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

Individual provider Physician Assistant · NPI 1104436625

Tyler Hendershot, PHYSICIANASSISTANT is a Physician Assistant in Midland, Michigan. Qualified in 2020, 6 years ago. Practices with Rau Physical Therapy Inc, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

4000 Wellness Dr
Midland, MI 48670-2000
Phone: (989) 837-9280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Columbus Ave Ste 260, Bay City, MI 48708-6476 — (517) 745-1341

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010108 (MI)

Record details

NPI number1104436625
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rau Physical Therapy Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Midland