Provider Demographics
NPI:1134558406
Name:VORST, TYLER DUANE (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:DUANE
Last Name:VORST
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 WEST SYCAMORE STREET.
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830
Mailing Address - Country:US
Mailing Address - Phone:419-659-2271
Mailing Address - Fax:419-659-2272
Practice Address - Street 1:212 WEST SYCAMORE STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830
Practice Address - Country:US
Practice Address - Phone:419-659-2271
Practice Address - Fax:419-659-2272
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor