Individual provider · Type 1 NPI

Tyler Tait

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1316330293 Active

Practice location

1400 E Downing St
Tahlequah, OK 74464-3324

Call (918) 458-2406 Map

Mailing address

313 S 13th Ave
Hattiesburg, MS 39401-6238

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316330293

Tyler Tait's National Provider Identifier is 1316330293, issued on Mar 16, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on May 6, 2015.