Individual provider · Type 1 NPI

Tyler J. Russo, DC

Chiropractor · Freehold, NJ

NPI number 1770052391 Active

Practice location

222 South St
Freehold, NJ 07728-2619

Call (732) 409-6777 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00756900 (NJ)

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 1770052391

Tyler J. Russo, DC's National Provider Identifier is 1770052391, issued on Nov 14, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Freehold, NJ. The record was last updated on Jul 16, 2025.