Healthcare Provider Details

I. General information

NPI: 1447344239
Provider Name (Legal Business Name): TIMOTHY JOSEPH DAY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2721 E SPRAGUE AVENUE
SPOKANE WA
99202
US

IV. Provider business mailing address

2721 E SPRAGUE AVENUE
SPOKANE WA
99202
US

V. Phone/Fax

Practice location:
  • Phone: 509-535-3038
  • Fax: 509-535-9749
Mailing address:
  • Phone: 509-535-3038
  • Fax: 509-535-9749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00002220
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: