# DR. FREDA TYSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871999318
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 077533 | IA | Yes |
| 111N00000X | Chiropractor | 5044-12 | WI | — |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/09/2016