Search › Missouri › 224Z00000X
Tyler Davis
NPI 1235646936 · on the registry since 2018 · sole proprietor
Practice
- Address
- 709 Highway 19
Thayer, MO 65791 - Phone
- (417) 264-7256
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri