Individual provider · Type 1 NPI

Tyler Keith Clark, DC

Chiropractor · Redondo Beach, CA

NPI number 1730540295 Active

Practice location

819 N Harbor Dr Ste 100
Redondo Beach, CA 90277-2086

Call (712) 208-0062 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X33482 (CA)

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 1730540295

Tyler Keith Clark, DC's National Provider Identifier is 1730540295, issued on Mar 11, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Redondo Beach, CA. The record was last updated on Sep 13, 2016.