Individual provider · Type 1 NPI

Tyler A. Jack, DC

Chiropractor · Spartanburg, SC

NPI number 1386080653 Active

Practice location

445 S Blackstock Rd
Spartanburg, SC 29301-3646

Fax (864) 804-6595

Mailing address

PO Box 170956
Spartanburg, SC 29301-0035

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3828 (SC)

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 1386080653

Tyler A. Jack, DC's National Provider Identifier is 1386080653, issued on May 14, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Spartanburg, SC. The record was last updated on Jul 14, 2014.