Provider Demographics
NPI:1528360542
Name:CARD, TIMOTHY MARVIN (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MARVIN
Last Name:CARD
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 1:625 N 5TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-5062
Mailing Address - Country:US
Mailing Address - Phone:360-683-8844
Mailing Address - Fax:360-683-5381
Practice Address - Street 1:625 N 5TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-5062
Practice Address - Country:US
Practice Address - Phone:360-683-8844
Practice Address - Fax:360-683-5381
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60196521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor