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

Tyler Parra

Individual provider Peer Specialist · NPI 1083389076

Tyler Parra is a Peer Specialist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X (UT)

Record details

NPI number1083389076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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