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

Mr. Mark R Michaelsen, DC

Individual provider Chiropractor · NPI 1902832686

Mr. Mark R Michaelsen, DC is a Chiropractic in Tyler, Texas. Graduated from Palmer College Chiropractic - Davenport in 1990, 36 years ago. Practices with Michaelsen Chiropractic Center, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Trained at
Palmer College Chiropractic - Davenport
Licensed in
TX
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

645 S Broadway Ave Ste 1
Tyler, TX 75701-1676
Phone: (903) 593-5200
Fax: (903) 535-9412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5712 (TX)

Record details

NPI number1902832686
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESApril 29, 2013
Mailing address645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1990 (36 years in practice)
Group practice Michaelsen Chiropractic Center, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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