Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyler J Chanthavong, DC

Individual provider Chiropractor · NPI 1386433704

Dr. Tyler J Chanthavong, DC is a Chiropractor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2300 Riverside Dr Ste 122
Green Bay, WI 54301-1900
Phone: (920) 664-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6307-12 (WI)

Record details

NPI number1386433704
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

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