Tyler Dean Gravley (NPI# 1891285193, PAC ID# 9032468889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1891285193 |
| PAC ID by PECOS | 9032468889 |
| Professional Enrollment ID | I20180828001378 |
| Full Name | Tyler Dean Gravley |
| Organization Legal Name | SOUTHERN FAMILY CHIROPRACTIC, LLC |
| Address |
2077 N Causeway Blvd Suite 3 Mandeville LA 70471-3115 |
| Phone Number | 5044620242 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8123377975 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471-3115 | 5044620242 | SOUTHERN FAMILY CHIROPRACTIC, LLC |
| Organization Legal Name | SOUTHERN FAMILY CHIROPRACTIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsee Lamarca | Chiropractic | Southern Family Chiropractic, LLC | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471-3115 |
| Street Address |
2077 N CAUSEWAY BLVD SUITE 3 |
| City | MANDEVILLE |
| State | LA |
| Zip | 70471-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsee Lamarca | Chiropractic | Southern Family Chiropractic, LLC | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobette M Laurendine | Clinical Social Worker | 4038 Desoto St, Mandeville, LA 70471-1804 | |
| Joseph E Tusa | Family Practice | Lmchh PCp LLC | 2190 N Causeway Blvd, Mandeville, LA 70471-1807 |
| David A Levy | Nurse Practitioner | Lmchh PCp LLC | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 |
| Michele Mixon | Clinical Social Worker | Michele Mixon Caputo, Lcsw | 2244 11th St, Mandeville, LA 70471-1824 |
| Nancy Dominick Gravel | Chiropractic | 2201 11th St, Suite 1, Mandeville, LA 70471-1830 | |
| James M Mccue | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Jeffrey C. Marston | Chiropractic | 655 Asbury Dr, Mandeville, LA 70471-1845 | |
| Brenton G Schulz | Chiropractic | 3701 Hwy 59 D, Mandeville, LA 70471-1905 | |
| Hilary Stephen Watson | Urology | 1665 Dove Park Rd, Suite 700, Mandeville, LA 70471-1929 | |
| Melissa M Hoffmann | Chiropractic | 3933 Hwy 59, Suite A, Mandeville, LA 70471-1958 | |
| Find all physicians in zip 70471 | |||
| City | MANDEVILLE |
| Zip Code | 70471 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MANDEVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Tyler Dean Gravley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.