Individual provider · Type 1 NPI

Tyler Clark, CHIROPRACTOR

Chiropractor · Canton, NY

NPI number 1205426327 Active

Practice location

3 Remington Ave Suite 5
Canton, NY 13617-3722

Mailing address

3 Remington Ave Ste 5
Canton, NY 13617-3603

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XX013335-01 (NY)
Chiropractor Primary 111N00000X013335-01 (NY)

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 1205426327

Tyler Clark, CHIROPRACTOR's National Provider Identifier is 1205426327, issued on Jan 22, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Canton, NY. The record was last updated on Nov 14, 2024.