Individual
TIFFANY THEMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1820 MIDDLE RD, BETTENDORF, IA 52722-3204
(563) 940-3096
(806) 305-0002
Mailing address
1705 DAVENSHIRE DR, BETTENDORF, IA 52722-2602
(563) 212-3461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
086250
IA
111NR0400X
Rehabilitation Chiropractor
14712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063953693
—
IA
Enumeration date
03/15/2017
Last updated
03/01/2025
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