Individual provider · Type 1 NPI
Ty Rebedew
Chiropractor · Berlin, WI
NPI number
1073100178
Active
Practice location
147 N State St
Berlin, WI 54923-1621
Fax (920) 361-2733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3306-12 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4 other providers at this address
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About NPI 1073100178
Ty Rebedew's National Provider Identifier is 1073100178, issued on Dec 23, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Berlin, WI. The record was last updated on Mar 23, 2023.