Provider Demographics
NPI:1912547126
Name:HIGHAM, TYSON (DC)
Entity type:Individual
Prefix:DR
First Name:TYSON
Middle Name:
Last Name:HIGHAM
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 1:1222 N PINES RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6444
Mailing Address - Country:US
Mailing Address - Phone:509-290-6883
Mailing Address - Fax:509-503-1161
Practice Address - Street 1:1222 N PINES RD STE 103
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6444
Practice Address - Country:US
Practice Address - Phone:509-290-6883
Practice Address - Fax:509-503-1161
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61016175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor