Individual provider · Type 1 NPI

Ty Sanders Ruddell, DC

Chiropractor · Mesa, AZ

NPI number 1982767349 Active

Practice location

4864 E Baseline Rd, Suite #105
Mesa, AZ 85206-4629

Call (480) 558-1900 Map

Fax (480) 633-6086

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6023 (AZ)
Sports Physician Chiropractor 111NS0005X3661 (AZ)

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 1982767349

Ty Sanders Ruddell, DC's National Provider Identifier is 1982767349, issued on Dec 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 27, 2009.