Most Relevant Information
Provider Data
| NPI Number: | 1003460510 |
| Provider Name: | TYLER VAN ACKER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
2160 APPIAN WAY STE 101
PINOLE
CA
945642524
Practice Location Phone/Fax
| Phone: | 5107245720 |
| Fax: |
Provider Mailing Location
1276 LONG LAKE CT
BRIGHTON
MI
481149640
Provider Mailing Phone/Fax
| Phone: | 5868547348 |
| Fax: |