Provider Demographics
NPI:1588751036
Name:RINN, TIMOTHY B (DC,DACBSP,CSCS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:B
Last Name:RINN
Suffix:
Gender:M
Credentials:DC,DACBSP,CSCS
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
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8835
Mailing Address - Country:US
Mailing Address - Phone:970-879-6501
Mailing Address - Fax:
Practice Address - Street 1:505 ANGLERS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8835
Practice Address - Country:US
Practice Address - Phone:970-879-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1451111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC11633Medicare ID - Type Unspecified
CO84-1307570OtherFED TAX ID