Organization
UNTAPPED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER ALAN PLOSS DC (OWNER/CHIROPRACTOR)
(765) 450-9153
Entity
Organization
Contact information
Practice address
1873 E SYCAMORE ST, KOKOMO, IN 46901-5200
(765) 450-9153
Mailing address
1873 E SYCAMORE ST, KOKOMO, IN 46901-5200
(765) 450-9153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08003326A
INDIANA CHIROPRACTIC LICENSE
IN
Enumeration date
09/09/2022
Last updated
09/13/2022
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