Provider Demographics
NPI:1699074617
Name:CLARREY, TIMOTHY ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ADAM
Last Name:CLARREY
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 1:1950 LAUREL MANOR DR STE 204
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5608
Mailing Address - Country:US
Mailing Address - Phone:352-259-0024
Mailing Address - Fax:352-430-1904
Practice Address - Street 1:1950 LAUREL MANOR DR STE 204
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5608
Practice Address - Country:US
Practice Address - Phone:352-259-0024
Practice Address - Fax:352-430-1904
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14062111N00000X
MO2010040085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor