| Kayak Chiropractic | |
|
310 W Rusk St, Tyler, TX 75701-1513 | |
| (903) 515-5535 | |
| Not Available |
| Full Name | Kayak Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 310 W Rusk St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013882992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (NU) | Primary |
| Provider Name | Matthew Dale Roberson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962397257 PECOS PAC ID: 6901395268 Enrollment ID: I20251028003260 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayak Chiropractic Po Box 7215, Tyler, TX 75711-7215 Ph: (903) 515-5535 | Kayak Chiropractic 310 W Rusk St, Tyler, TX 75701-1513 Ph: (903) 515-5535 |
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