Individual provider · Type 1 NPI

Tyrivia Threat

Contractor · Acworth, GA

NPI number 1689474892 Active

Practice location

4437 Grove Dr NW
Acworth, GA 30101-6619

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1689474892

Tyrivia Threat's National Provider Identifier is 1689474892, issued on Mar 17, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Acworth, GA. The record was last updated on Mar 17, 2025.