Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aundrea Renee Tyner, PT

Individual provider Physical Therapist · NPI 1164869400

Aundrea Renee Tyner, PT is a Physical Therapist in Lakeport, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

381 Lakeport Blvd
Lakeport, CA 95453-5412 Not confirmed with CMS for 10 years — call before visiting
Phone: (707) 263-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40130 (CA)

Record details

NPI number1164869400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 28, 2013
Last updated in NPPESDecember 21, 2015

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