Provider Demographics
NPI:1023674124
Name:VELDHUIZEN, TYLER GENE (DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:GENE
Last Name:VELDHUIZEN
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 1:60 MARKET ST
Mailing Address - Street 2:STE 206
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-6559
Mailing Address - Country:US
Mailing Address - Phone:330-806-0621
Mailing Address - Fax:
Practice Address - Street 1:65 THOMAS JOHNSON DR STE D
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4371
Practice Address - Country:US
Practice Address - Phone:301-663-7898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist