Individual
DR. JON-TYLER ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6468 FARMDALE RD, BARBOURSVILLE, WV 25504-1330
(304) 733-4038
(304) 733-4036
Mailing address
6468 FARMDALE RD, BARBOURSVILLE, WV 25504-1330
(304) 733-4038
(304) 733-4036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
973
WV
Other
Enumeration date
11/13/2014
Last updated
02/27/2020
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