Individual
DR. TYLER CURTIS PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12 COOGAN BLVD STE 204, MYSTIC, CT 06355-1938
(860) 245-4620
(860) 245-5752
Mailing address
12 COOGAN BLVD STE 204, MYSTIC, CT 06355-1938
(860) 245-4620
(860) 245-5752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001879
CT
111NR0400X
Rehabilitation Chiropractor
Primary
001879
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100045708
MEDICARE PTAN
CT
Enumeration date
03/18/2011
Last updated
11/16/2023
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