Provider Demographics
NPI:1063693612
Name:COMER, TYLER LEE (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:LEE
Last Name:COMER
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 1:640 E 700 S STE 103
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5731
Mailing Address - Country:US
Mailing Address - Phone:435-668-7284
Mailing Address - Fax:844-508-4748
Practice Address - Street 1:640 E 700 S STE 103
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5731
Practice Address - Country:US
Practice Address - Phone:435-668-7284
Practice Address - Fax:844-508-4748
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor