Individual provider · Type 1 NPI

Ty Anthony Trudeau, DC

Chiropractor · Winter Park, FL

NPI number 1235252537 Active

Practice location

483 N. Semoran Blvd.
Winter Park, FL 32792

Fax (407) 772-0302

Mailing address

PO Box 4549
Winter Park, FL 32793-4549

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH7566 (FL)

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 1235252537

Ty Anthony Trudeau, DC's National Provider Identifier is 1235252537, issued on Apr 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Winter Park, FL. The record was last updated on Aug 23, 2010.