Dr. Tyler John Bradshaw, D.C.
Chiropractor in Queen Creek, AZ. Individual provider (NPI-1).
NPI number1588005136
StatusActive
Last updated in NPPESJul 11, 2013
Details
- NPI
- 1588005136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler John Bradshaw
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2013
- Last updated
- Jul 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 8338 | AZ | Yes |
Practice location
21321 E Ocotillo Rd Ste 125Queen Creek, AZ 85142-5995
Phone 480-677-4800 · Fax 480-677-4806
Mailing address
21321 E Ocotillo Rd Ste 125Queen Creek, AZ 85142-5995
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