Provider Demographics
NPI:1962046938
Name:HALL, TYLER (DC)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:
Last Name:HALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 PINE CREST RD
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-8800
Mailing Address - Country:US
Mailing Address - Phone:606-776-5447
Mailing Address - Fax:
Practice Address - Street 1:312 PINE CREST RD
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-8800
Practice Address - Country:US
Practice Address - Phone:606-776-5447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-03
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4468111N00000X
KY285432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor