Provider Demographics
NPI:1447710025
Name:SESSIONS, TYSON SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:TYSON
Middle Name:SCOTT
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2001 W 86TH ST
Mailing Address - Street 2:3 NORTH
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1991
Mailing Address - Country:US
Mailing Address - Phone:317-338-6089
Mailing Address - Fax:317-338-2851
Practice Address - Street 1:3551 E OVERLAND RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6757
Practice Address - Country:US
Practice Address - Phone:208-884-1333
Practice Address - Fax:208-489-4015
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDO-19282081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine