NPI 1508262882

Jon-Tyler Roach, DC

Practitioner Chiropractor Barboursville, WV

Practice location

Address: 6468 Farmdale Rd, Barboursville, WV 25504-1330
Phone: (304) 733-4038
Fax: (304) 733-4036

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 973 (WV)

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Registry record

NPI: 1508262882
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2014
Record last updated: 27 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.