Healthcare Provider Details
I. General information
NPI: 1427980671
Provider Name (Legal Business Name): MYBIOFIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5316 YACHT HAVEN GRANDE
ST THOMAS VI
00802-5027
US
IV. Provider business mailing address
821 NILES WOODS WAY
MURFREESBORO TN
37129-1793
US
V. Phone/Fax
- Phone: 340-244-4470
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TYLUR
DAYNE
ARVIDSON
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 678-485-0260