Individual provider · Type 1 NPI

Ty Andrew Fodor

Chiropractor · Sunnyside, WA

NPI number 1104506559 Active

Practice location

1724 Wesley Way
Sunnyside, WA 98944-6001

Call (509) 839-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH61465595 (WA)

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.

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About NPI 1104506559

Ty Andrew Fodor's National Provider Identifier is 1104506559, issued on Jul 20, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sunnyside, WA. The record was last updated on Jul 20, 2023.