Healthcare Provider Details

I. General information

NPI: 1386548030
Provider Name (Legal Business Name): TJ HARRISON CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 3RD ST STE 101
SACRAMENTO CA
95811-6200
US

IV. Provider business mailing address

1722 3RD ST STE 101
SACRAMENTO CA
95811-6200
US

V. Phone/Fax

Practice location:
  • Phone: 916-400-0447
  • Fax: 916-442-3075
Mailing address:
  • Phone: 916-400-0447
  • Fax: 916-442-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. TYLER HARRISON
Title or Position: OWNER
Credential: DC
Phone: 916-400-0447