MR. Ty Sanders Ruddell, DC

NPI #1982767349 in Mesa, Arizona

Provider Information

NPI Number: 1982767349
Entity Type: Individual
Name: MR. Ty Sanders Ruddell, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 18, 2006
Last Updated: Apr 27, 2009

Practice Location

Address: 4864 E BASELINE RD
Address 2: SUITE #105
City: Mesa
State: Arizona
ZIP Code: 85206-4629
Phone: (480) 558-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Sports Physician — Sports Physician	111NS0005X

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