Organization
MYSTIC SPINE & SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER CURTIS PAGE D.C. (OWNER/DOCTOR)
(860) 245-4620
Entity
Organization
Contact information
Practice address
12 COOGAN BLVD STE 204, MYSTIC, CT 06355-1938
(860) 245-4620
(860) 245-5752
Mailing address
12 COOGAN BLVD STE 204, MYSTIC, CT 06355-1938
(860) 245-4620
(860) 245-5752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/01/2011
Last updated
02/02/2024
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