Healthcare Provider Details
I. General information
NPI: 1346010998
Provider Name (Legal Business Name): TNT CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 ANGLERS DR STE 102
STEAMBOAT SPRINGS CO
80487-8836
US
IV. Provider business mailing address
505 ANGLERS DR STE 102
STEAMBOAT SPRINGS CO
80487-8836
US
V. Phone/Fax
- Phone: 970-879-6501
- Fax: 970-879-6502
- Phone: 970-879-6501
- Fax: 970-879-6502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TIFFANY
TERRY
Title or Position: DOCTOR
Credential: DC
Phone: 970-879-6501