Individual
TYLOR S ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1219 LARK ST, LONGMONT, CO 80501-8914
(720) 771-4754
Mailing address
1219 LARK ST, LONGMONT, CO 80501-8914
(720) 771-4754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4817
CO
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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