Provider Demographics
NPI:1487318085
Name:PRITCHARD, TYLOR (DC)
Entity type:Individual
Prefix:DR
First Name:TYLOR
Middle Name:
Last Name:PRITCHARD
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 1:6826 ALBANY WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9387
Mailing Address - Country:US
Mailing Address - Phone:419-569-6095
Mailing Address - Fax:
Practice Address - Street 1:5579 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1321
Practice Address - Country:US
Practice Address - Phone:419-569-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor