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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYREL DETWEILER, D.C.

Active Sole Proprietor

DR. TYREL DETWEILER, D.C. is a Sports Physician (Chiropractor) healthcare provider located in SOUTHAVEN, Mississippi. NPI 1619348547 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · SOUTHAVEN, MS

Registration Details

NPI Number
1619348547
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2015 (10.637588498171 yrs)
Last Updated
Oct 19, 2015
License
2894 (TN)
Sole Proprietor
Yes

Practice Information

Address
5740 GETWELL RD BLDG 4A
SOUTHAVEN, MS, 386727361
Browse MS providers · Browse ZIP 38672
Phone
6625243200
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.