Individual provider · Type 1 NPI

Mary Kaye Tyson, PT

Pediatric Physical Therapist · Norfolk, VA

NPI number 1548480262 Active

Practice location

171 Kempsville Rd Bldg A
Norfolk, VA 23502-4700

Call (757) 668-6581 Map

Fax (757) 668-6588

Mailing address

277 Mannings Ln
Virginia Beach, VA 23462-4362

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2305000614 (VA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1548480262

Mary Kaye Tyson, PT's National Provider Identifier is 1548480262, issued on Apr 26, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Norfolk, VA. The record was last updated on Jul 8, 2007.