Individual
DR. TIMOTHY J HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7274 RHEA COUNTY HWY, DAYTON, TN 37321-6205
(423) 775-0192
(423) 775-5538
Mailing address
7274 RHEA COUNTY HWY, DAYTON, TN 37321-6205
(423) 775-0192
(423) 775-5538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056270
BLUE CROSS BLUE SHIELD
TN
05
—
1508239
—
TN
05
—
36737261
—
TN
Enumeration date
05/24/2005
Last updated
09/27/2016
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