Individual provider · Type 1 NPI
Randi R. Tyler, DC
Chiropractor · O Fallon, IL
NPI number
1740534320
Active
Practice location
102 Willow Dr Ste A
O Fallon, IL 62269-1073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012299 (IL) |
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.
Another provider at this address
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About NPI 1740534320
Randi R. Tyler, DC's National Provider Identifier is 1740534320, issued on Nov 2, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in O Fallon, IL. The record was last updated on Nov 14, 2023.