Tyree L. Revange
Physical Therapist in Tallahassee, FL(View on Map)
Full Name
Tyree L Revange
NPI Number
1649670472
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/29/2014
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PT29648
Contact
Information
Purpose
Mailing
Location
Address
1453 FISHER LN
2410 W PLAZA DR
City
Tallahassee
Tallahassee
State
FL
FL
Postal Code
32301-4901
32308-5325
Country
US
US
Telephone Number
(941) 201-2316
(850) 285-6185
Identifiers
Identifier
PT29648
Identifier State
FL
Identifier Issuer
PHYSICAL THERAPY
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/29/2014