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Mr. TYE MICHAEL CASTLE I P.T.A.

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1235367376
Provider Type
Individual Provider (NPI-1)
Credentials
P.T.A.
Status
Active

Contact & Location

Address
4302 PRINCETON ST, LUBBOCK, TX, 794151304
Phone
(806) 749-2222

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #PTA-2539

All Addresses

MAILING

730 MARINUS LN

POCATELLO, ID, 832012834

LOCATION

4302 PRINCETON ST

LUBBOCK, TX, 794151304

(806) 749-2222