Tyler Ellison, L.A.C

NPI #1508522640 in Waterford, Connecticut

Provider Information

NPI Number: 1508522640
Entity Type: Individual
Name: Tyler Ellison, L.A.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.A.C
Enumeration Date: Nov 12, 2021
Last Updated: Nov 12, 2021

Practice Location

Address: 175 BOSTON POST RD STE 1
City: Waterford
State: Connecticut
ZIP Code: 06385-2815
Phone: (860) 271-7354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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