Provider Demographics
NPI:1316067184
Name:KREY, TINLEY B (DC)
Entity type:Individual
Prefix:DR
First Name:TINLEY
Middle Name:B
Last Name:KREY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19011 WOODINVILLE SNOHOMISH RD NE STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4436
Mailing Address - Country:US
Mailing Address - Phone:425-892-4476
Mailing Address - Fax:866-536-9559
Practice Address - Street 1:19011 WOODINVILLE SNOHOMISH RD NE STE 100
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4436
Practice Address - Country:US
Practice Address - Phone:425-892-4476
Practice Address - Fax:866-536-9559
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB16914Medicare PIN