Mira Choi Tyson, L.AC.

NPI #1194105650 in Upper Arlington, Ohio

Provider Information

NPI Number: 1194105650
Entity Type: Individual
Name: Mira Choi Tyson, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: May 31, 2015
Last Updated: Dec 31, 2019

Practice Location

Address: 1840 MACKENZIE DR STE 101
City: Upper Arlington
State: Ohio
ZIP Code: 43220-2980
Phone: (614) 500-3088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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