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

Tyler S Maynard

Individual provider Physical Therapist · NPI 1578279758

Tyler S Maynard is a Physical Therapist in Modesto, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

4660 Spyres Way
Modesto, CA 95356-9804
Phone: (209) 578-3290
Fax: (209) 550-4944
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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 PT299860 (CA)

Record details

NPI number1578279758
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address4660 Spyres Way, Modesto, CA 95356-9804

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