Healthcare Provider Details

I. General information

NPI: 1720123680
Provider Name (Legal Business Name): TYLER MICHAEL SCHELL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10074 WOODLAND DR
LENEXA KS
66220-3802
US

IV. Provider business mailing address

10074 WOODLAND RD.
LENEXA KS
66220
US

V. Phone/Fax

Practice location:
  • Phone: 913-393-2222
  • Fax: 913-393-2227
Mailing address:
  • Phone: 913-393-2222
  • Fax: 913-393-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05105
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: