Healthcare Provider Details

I. General information

NPI: 1881925238
Provider Name (Legal Business Name): TYLER D SLABAUGH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3371 CLOVERLEAF PKWY
KANNAPOLIS NC
28083-6991
US

IV. Provider business mailing address

3371 CLOVERLEAF PKWY
KANNAPOLIS NC
28083-6991
US

V. Phone/Fax

Practice location:
  • Phone: 980-248-1788
  • Fax: 980-217-3103
Mailing address:
  • Phone: 980-248-1788
  • Fax: 980-217-3103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4047
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: