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

Tyler I Edgerton

Individual provider Physical Therapy Assistant · NPI 1679115109

Tyler I Edgerton is a Physical Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019

Practice location Address checks out

2836 Watson Rd
Saint Louis, MO 63139-2621
Phone: (314) 368-4408
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2017036514 (MO)

Record details

NPI number1679115109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019
Mailing address2836 Watson Rd, Saint Louis, MO 63139-2621

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