Individual provider · Type 1 NPI
Brandon Tyler Boon
Chiropractor · Newtown Square, PA
NPI number
1104689835
Active
Practice location
3605 Winding Way
Newtown Square, PA 19073-4057
Mailing address
304 E Marshall St
West Chester, PA 19380-2472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC011899 (PA) |
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 1104689835
Brandon Tyler Boon's National Provider Identifier is 1104689835, issued on Feb 5, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Newtown Square, PA. The record was last updated on Feb 5, 2024.