Provider Demographics
NPI:1912862434
Name:HEATH, TYLER FARRIS (DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:FARRIS
Last Name:HEATH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 BUFFALO GAP RD
Mailing Address - Street 2:
Mailing Address - City:TUSCOLA
Mailing Address - State:TX
Mailing Address - Zip Code:79562-2147
Mailing Address - Country:US
Mailing Address - Phone:326-660-0047
Mailing Address - Fax:
Practice Address - Street 1:76 REGENCY PKWY
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7816
Practice Address - Country:US
Practice Address - Phone:817-419-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-17
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty