Tyler Lester
Individual provider Active NPI Attendant Care Provider · Manitou Springs, CO
NPI 1073345336 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1073345336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 45 Fountain PL
Manitou Springs, CO 80829-2125 - Phone
- (719) 960-7165
- NPI assigned
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
45 Fountain PL
Manitou Springs, CO 80829-2125
Mailing address
45 Fountain PL
Manitou Springs, CO 80829-2125
Phone (719) 960-7165
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- Kathleen Kimberly Lind Leander
- Patrick Mannion
- Wendy S Martin
- Keetha C McDaniel
- Amy Mogck
All providers in Manitou Springs, CO · Attendant Care Provider in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.