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

MR. TY SANDERS RUDDELL, DC

Active

MR. TY SANDERS RUDDELL, DC is a Chiropractor healthcare provider located in MESA, Arizona. NPI 1982767349 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · MESA, AZ

Registration Details

NPI Number: 1982767349
Provider Type: Individual
Gender: Male
NPI Issued: Dec 18, 2006 (19.652286293663 yrs)
Last Updated: Apr 27, 2009
Licenses: 6023 (AZ)

3661 (AZ)

Practice Information

Address: 4864 E BASELINE RD

SUITE #105

MESA, AZ, 852064629
Browse AZ providers · Browse ZIP 85206
Phone: 4805581900
Fax: 4806336086
Primary Specialty: Chiropractor
111N00000X
Additional Specialty: Sports Physician (Chiropractor)

Other Chiropractor Providers in MESA, AZ

Name	Credential	NPI
DR. RUSSELL LEROY CLOUSE	DC	1134122765
DR. ANDREW B ALTMAN	D.C.	1023012747
DR. KELLY S THOMPSON	D.C.	1033114665
DR. JANEEN SARHADDI	D.C.	1487651147
DR. MANFRED H AHNEN	DC	1346248184
SHANLYN MARIE NEWMAN	DC	1043218969

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.