Individual provider · Type 1 NPI
Tyler Ray Bodin, DC
Chiropractor · Moore, OK
NPI number
1730108697
Active
Practice location
1021 SW. 19th St.
Moore, OK 73160-2806
Fax (405) 703-2848
Mailing address
12445 Alameda Trace Cir, #312
Austin, TX 78727-6390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3813 (OK) |
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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- Caleb Dylan Wallace, DCChiropractor Moore, OK NPI 1508775420
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About NPI 1730108697
Tyler Ray Bodin, DC's National Provider Identifier is 1730108697, issued on Jul 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moore, OK. The record was last updated on Jul 8, 2007.