Organization
GAUDRY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER GAUDRY DC (OWNER)
(802) 353-5980
Entity
Organization
Contact information
Practice address
424 HOME AVE, MARYVILLE, TN 37801-3915
(802) 353-5980
Mailing address
11555 E SHEPPERD AVE, MESA, AZ 85212-4217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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