MEDICARE: DR. TYLER LEE CRABTREE 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	111N00000X	Chiropractor	3608	MA

General Provider Information

NPI Number	:	1740526292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYLER LEE CRABTREE D.C.

Provider Business Mailing Address
First Line	:	480 WASHINGTON ST
Second Line	:	STE 201
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2655
Country	:	US
Telephone Number	:	617-739-0046
Fax Number	:	617-738-9441

Provider Business Practice Location Address
First Line	:	480 WASHINGTON ST STE 201
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2655
Country	:	US
Telephone Number	:	617-739-0046
Fax Number	:	617-738-9441

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

Provider Enumeration Date	:	01/02/2013
Last Update Date	:	12/08/2025

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