Individual
TYLER KALLENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2502 W COLORADO AVE, SUITE 207, COLORADO SPRINGS, CO 80904-3023
(719) 418-6464
Mailing address
2502 W COLORADO AVE, SUITE 207, COLORADO SPRINGS, CO 80904-3023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007172
CO
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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