Tyler Pensis is a Chiropractor based in Shawano, WI. Tyler Pensis practices in Shawano, WI. The NPI Number for Tyler Pensis is 1043772346 and holds a License No. 5446-12 (Wisconsin).
The current practice location address for Tyler Pensis is W5675 Cty Hwy B, Shawano, WI and can be reached out via phone at 715-526-6158.
Location: W5675 Cty Hwy B, Shawano, WI, 54166-6102
Provider Profile Details
NPI Number
1043772346
Provider Name
Tyler Pensis
Credential
Provider Entity Type
Individual
Gender
Male
Address
W5675 Cty Hwy B, Shawano, WI, 54166-6102
Phone Number
715-526-6158
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5446-12 | 01 | WI | STATE LICENSE NUMBER |
Provider Business Practice Location Address Details
Address
W5675 Cty Hwy B
City
State
Zip
54166
Phone Number
715-526-6158
Fax Number
Provider Business Mailing Address Details
Address
W5675 Cty Hwy B
City
State
Zip
54166
Phone Number
715-526-6158
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5446-12 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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