Tyler Tait is a student in an organized health care education training program in Tahlequah, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tyler Tait NPI is 1316330293. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464-324
Phone: (918) 458-2406
The enumeration date for this NPI number is 3/16/2015 and was last updated on 5/6/2015.