Provider Demographics
NPI:1316301542
Name:TERRY, TIFFANY (DC)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:TERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 ANGLERS DR STE 102
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8836
Mailing Address - Country:US
Mailing Address - Phone:970-879-6501
Mailing Address - Fax:970-879-6502
Practice Address - Street 1:505 ANGLERS DR STE 102
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8836
Practice Address - Country:US
Practice Address - Phone:970-879-6501
Practice Address - Fax:970-879-6502
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009685111N00000X
FLCH11981111N00000X
COCHR.0008575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor