Individual
DR. TYLER HOELTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3536 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(563) 940-4843
Mailing address
3536 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(563) 940-4843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
123217
IA
111N00000X
Chiropractor
2020012516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336765015
—
IA
05
—
2020012516
—
MO
Enumeration date
06/18/2020
Last updated
04/02/2024
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