MEDICARE: DR TYLER W SIMPSON DC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851157168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR TYLER W SIMPSON DC

Provider Business Mailing Address
First Line	:	862 W HAPPY CANYON RD STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-3910
Country	:	US
Telephone Number	:	720-612-4386
Fax Number	:

Provider Business Practice Location Address
First Line	:	862 W HAPPY CANYON RD STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-3910
Country	:	US
Telephone Number	:	720-612-4386
Fax Number	:

Authorized Official
Title or Position	:	OWNER. CHIROPRACTOR
Name	:	DR. TYLER W SIMPSON
Credential	:	DC
Telephone Number	:	760-505-6166

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	02/23/2024

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