MEDICARE: DR. RYAN AUSTIN TUCHSCHERER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	6065	CO

General Provider Information

NPI Number	:	1043409832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN AUSTIN TUCHSCHERER D.C.

Provider Business Mailing Address
First Line	:	400 S COLORADO BLVD STE 300
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-1238
Country	:	US
Telephone Number	:	720-974-0392
Fax Number	:	720-974-0394

Provider Business Practice Location Address
First Line	:	400 S COLORADO BLVD STE 300
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-1238
Country	:	US
Telephone Number	:	720-974-0392
Fax Number	:	720-974-0394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	10/17/2007

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