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Tyler Gravley
NPI 1891285193 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2077 N Causeway Blvd
Suite 3
Mandeville, LA 70471 - Phone
- (504) 462-0242
- Organisation at this address
- Southern Family Chiropractic, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-18
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 Louisiana