Healthcare Provider Details

I. General information

NPI: 1609796077
Provider Name (Legal Business Name): TYLER OBERBROECKLING DC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 33RD ST STE A
SPIRIT LAKE IA
51360-7715
US

IV. Provider business mailing address

2125 ROYAL AVE UNIT 1210
SPIRIT LAKE IA
51360-7773
US

V. Phone/Fax

Practice location:
  • Phone: 712-336-4848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number139884
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: