Individual provider · Type 1 NPI
Tyler Gravley
Chiropractor · Mandeville, LA
NPI number
1891285193
Active
Practice location
2077 N Causeway Blvd, Suite 3
Mandeville, LA 70471
Mailing address
15211 Carlou Dr
Ponchatoula, LA 70454-6423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1807 (LA) |
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 1891285193
Tyler Gravley's National Provider Identifier is 1891285193, issued on May 14, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mandeville, LA. The record was last updated on May 18, 2018.