Individual provider · Type 1 NPI
Ryan Michael Tachick, DC
Chiropractor · Green Bay, WI
NPI number
1104453570
Active
Practice location
2530 Lineville Rd Ste 1
Green Bay, WI 54313-8861
Mailing address
3446 Jersey Ln
Suamico, WI 54313-3624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5530-12 (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.
3 other providers at this address
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About NPI 1104453570
Ryan Michael Tachick, DC's National Provider Identifier is 1104453570, issued on Mar 25, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Bay, WI. The record was last updated on Oct 30, 2023.