Provider Demographics
NPI:1699267229
Name:HARDIN, TYLER
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:HARDIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7659 MONTGOMERY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4266
Mailing Address - Country:US
Mailing Address - Phone:513-236-6301
Mailing Address - Fax:
Practice Address - Street 1:1646 GLASGOW CT
Practice Address - Street 2:
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-1807
Practice Address - Country:US
Practice Address - Phone:513-236-6301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care