Tyler Test | Salt Lake City, UT • PECOS Search

Tyler Test

Social Worker

Behavioral Health & Social Service Providers

5620 S Waterbury Way, Salt Lake City, UT 84121-1180

(303) 514-2605 (940) 231-8138

PECOS Enrollment

Based on the most recent information from CMS, provider Tyler Test does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710795117
Provider Type
Individual
Full Name
Test, Tyler
Credential
SOCIAL WORKER

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/18/2024
Last Updated
12/18/2024

Contact Information

Practice Location

5620 S Waterbury Way, Salt Lake City, UT 84121-1180

Unlisted Fax

Mailing Location

1090 E View Point Dr Apt F208, Sandy, UT 84094-0780

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 13996439-3502 Utah