Provider Demographics
NPI:1568929016
Name:ARSENAULT, TYLER AARON (DC)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:AARON
Last Name:ARSENAULT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34305 SOLON RD STE 30
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2660
Mailing Address - Country:US
Mailing Address - Phone:814-242-1024
Mailing Address - Fax:
Practice Address - Street 1:34305 SOLON RD STE 30
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2660
Practice Address - Country:US
Practice Address - Phone:814-242-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011452111N00000X
OHDC04883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor