Provider Demographics
NPI:1194612937
Name:HARRISON, TYLER MARIE
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:MARIE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 SLATE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-8601
Mailing Address - Country:US
Mailing Address - Phone:234-289-4447
Mailing Address - Fax:
Practice Address - Street 1:287 SLATE RIDGE DR
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-8601
Practice Address - Country:US
Practice Address - Phone:234-289-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other