Individual
TYLER RAY BOHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14865 METCALF AVE, OVERLAND PARK, KS 66223-2205
(712) 540-6615
Mailing address
21848 W 123RD TER, OLATHE, KS 66061-7629
(712) 540-6615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06114
KS
Other
Enumeration date
03/23/2021
Last updated
03/30/2021
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