Tyler Chanthavong, DC

NPI 1386433704 · on the registry since 2025 · sole proprietor

Practice

Address: 2300 Riverside Dr Ste 122
Green Bay, WI 54301
Phone: (920) 664-2559
Organisation at this address: Goodine Counseling Ltd
Impact Mental Health Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Chiropractor
111N00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin