Individual provider · Type 1 NPI
Tyler Renee Wade, DC
Chiropractor · Dallas, GA
NPI number
1720814643
Active
Practice location
166 Parkmont Way
Dallas, GA 30132-1121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR0112668 (GA) |
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 1720814643
Tyler Renee Wade, DC's National Provider Identifier is 1720814643, issued on Sep 9, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, GA. The record was last updated on Sep 9, 2024.