Tyler Clark, CHIROPRACTOR

Chiropractor · Canton, NY

Individual Active NPI

NPI number 1205426327

Practice location

3 Remington Ave Suite 5
Canton, NY 13617-3722
Phone
(315) 714-2033

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NPI record

NPI
1205426327
Entity type
Individual (Type 1)
Enumeration date
January 22, 2021
Last updated
November 14, 2024
Certified
November 14, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 013335-01 NY
Chiropractor 111N00000X X013335-01 NY

Mailing address

3 Remington Ave Ste 5
Canton, NY 13617-3603
Phone
(315) 714-2033

Other practice locations (1)

  • 94 North State Street, Heuvelton, NY 13654-4118 · (315) 714-2033

About Tyler Clark

Tyler Clark, CHIROPRACTOR is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 3 Remington Ave Suite 5, Canton, NY 13617-3722. The NPI number 1205426327 was assigned on January 22, 2021 and the record was last updated on November 14, 2024.

Tyler Clark lists 2 licenses in the registry: #013335-01 (NY) for Chiropractor; #X013335-01 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Clark, CHIROPRACTOR?

The NPI number is 1205426327.

What is the phone number of Tyler Clark?

The phone number listed for the practice location is (315) 714-2033.

Where is Tyler Clark located?

3 Remington Ave Suite 5, Canton, NY 13617-3722.

What is the taxonomy code for Tyler Clark?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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