Individual
DR. TYREN J BRATVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
628 3RD ST SE, PUYALLUP, WA 98372-3208
(253) 845-6636
(253) 770-1152
Mailing address
628 3RD ST SE, PUYALLUP, WA 98372-3208
(253) 845-6636
(253) 770-1152
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH00003571
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026490
—
WA
Enumeration date
05/02/2007
Last updated
12/14/2012
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