Provider Demographics
NPI:1902795735
Name:TYLER CELEY-BUTLIN, DC LLC
Entity type:Organization
Organization Name:TYLER CELEY-BUTLIN, DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:CELEY-BUTLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-299-5378
Mailing Address - Street 1:26 E HASKELL ST STE D
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-3578
Mailing Address - Country:US
Mailing Address - Phone:775-258-0686
Mailing Address - Fax:775-258-0606
Practice Address - Street 1:26 E HASKELL ST STE D
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-3578
Practice Address - Country:US
Practice Address - Phone:775-258-0686
Practice Address - Fax:775-258-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty