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

William Tyler Dubose

Individual provider Kinesiotherapist · NPI 1700666922

William Tyler Dubose is a Kinesiotherapist in Lake City, Florida. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023
Specialties on file
2

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Show map & directions

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

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X (MS)
Massage Therapist Taxonomy 225700000X · Licence 4037 (MS)

Record details

NPI number1700666922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address55 Arnett Rd, Hattiesburg, MS 39401-9486

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