Crisman, Tyson Carter

Crisman, Tyson Carter is an individual health care provider with primary practice located at 102 Medical Center Dr Ste G , Prattville AL 36066-7286. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Crisman, Tyson Carter can be contacted via phone (334) 239-0708.

Contact Information

Primary practice address
102 Medical Center Dr Ste G Prattville AL 36066-7286
Phone: (334) 239-0708
Fax: (334) 440-8233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH4381 Alabama

Profile Details

NPI number 1306954276
LBN Legal business name Crisman, Tyson Carter
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306954276 NPPES
Alabama Other PTH4381 LICENSE #

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