Individual
DR. TYREL DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5740 GETWELL RD BLDG 4A, SOUTHAVEN, MS 38672-7361
(662) 524-3200
Mailing address
463 MOCKINGBIRD LN, COLLIERVILLE, TN 38017-2213
(319) 400-9121
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2894
TN
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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