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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH7566 (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.