Provider Demographics
NPI:1851957237
Name:SIMPSON, TYLER WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:WILLIAM
Last Name:SIMPSON
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 1:862 W HAPPY CANYON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3910
Mailing Address - Country:US
Mailing Address - Phone:720-612-4386
Mailing Address - Fax:
Practice Address - Street 1:862 W HAPPY CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3910
Practice Address - Country:US
Practice Address - Phone:720-612-4386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34440111N00000X
COCHR0008703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor