Individual
DR. TIFFANY MACK DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2121 RICHMOND RD, SUITE 115, LEXINGTON, KY 40502-1206
(859) 272-0002
(859) 264-0916
Mailing address
2121 RICHMOND RD, SUITE 115, LEXINGTON, KY 40502-1206
(859) 272-0002
(859) 264-0916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5160
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100074310
—
KY
Enumeration date
01/03/2009
Last updated
07/25/2014
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