IndividualActive
Tyler Haskell, DPT
NPI 1669927000 · Pediatric Physical Therapist · Meridian, ID
Provider details
- NPI number
- 1669927000
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-4640 (ID)
Mailing address
12072 W Mcmillan Rd
Boise, ID 83713-2462
Registry dates
- Enumerated
- 2016-08-15
- Last updated
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.