Individual
TYLER JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., B.S.
Contact information
Practice address
808 S BAILEY ST, SUITE 103, PALMER, AK 99645-6991
(907) 707-1380
Mailing address
808 S BAILEY ST, SUITE 103, PALMER, AK 99645-6991
(907) 707-1380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
562
AK
Other
Enumeration date
08/02/2012
Last updated
10/28/2021
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