Tyler Michael Fosdick, PT Valid NPI
Individual provider · Physical Therapist · Loveland, CO
- NPI
- 1023436409
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 12489 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-04-02
- Last updated
- 2017-03-16
Practice location
107 W 29th St, Suite 100
Loveland, CO 80538-2797
(970) 663-6142