IndividualActive
Demarcus Tyler
NPI 1609401066 · Prosthetics Case Management · Baltimore, MD
Provider details
- NPI number
- 1609401066
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5526 Belair Rd
Baltimore, MD 21206-3614
Phone: (410) 302-1633
Approximate (ZIP-level) locationGet directions
Mailing address
818 Wingsail Ct
Joppa, MD 21085-3323
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.