Provider Demographics
NPI:1841441102
Name:SHEEDY, TIMOTHY J (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:SHEEDY
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 1:3515 SPRING ST
Mailing Address - Street 2:STE 6
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2100
Mailing Address - Country:US
Mailing Address - Phone:563-359-6400
Mailing Address - Fax:563-359-3543
Practice Address - Street 1:3515 SPRING ST
Practice Address - Street 2:STE 6
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2100
Practice Address - Country:US
Practice Address - Phone:563-359-6400
Practice Address - Fax:563-359-3543
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor