Provider Demographics
NPI:1104023787
Name:TATUM CHIROPRACTIC AND WELLNESS, PC
Entity Type:Organization
Organization Name:TATUM CHIROPRACTIC AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LIND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-513-8900
Mailing Address - Street 1:29834 N CAVE CREEK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2384
Mailing Address - Country:US
Mailing Address - Phone:480-513-8900
Mailing Address - Fax:
Practice Address - Street 1:29834 N CAVE CREEK RD STE 110
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2384
Practice Address - Country:US
Practice Address - Phone:480-513-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty