Provider Demographics
NPI:1447306105
Name:NYHUS, TAMMY TREMMEL (DC, DICCP)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:TREMMEL
Last Name:NYHUS
Suffix:
Gender:F
Credentials:DC, DICCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16228 MAIN AVE SE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-1770
Mailing Address - Country:US
Mailing Address - Phone:952-226-1140
Mailing Address - Fax:952-226-1141
Practice Address - Street 1:16228 MAIN AVE SE
Practice Address - Street 2:SUITE 105
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-1770
Practice Address - Country:US
Practice Address - Phone:952-226-1140
Practice Address - Fax:952-226-1141
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNDC3878111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU9438Medicare UPIN