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

Tyler Ellison, LAC

Individual provider Acupuncturist · NPI 1508522640

Tyler Ellison, LAC is an Acupuncturist in Waterford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2021
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

175 Boston Post Rd Ste 1
Waterford, CT 06385-2815
Phone: (860) 271-7354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 846112 (CT)

Record details

NPI number1508522640
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 12, 2021
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021
Mailing address122 Foster St, New Haven, CT 06511-2655

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