Provider Demographics
NPI:1114577558
Name:TIMMONS, CAITLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 PEACHSTONE PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4599
Mailing Address - Country:US
Mailing Address - Phone:832-610-8740
Mailing Address - Fax:
Practice Address - Street 1:10845 KUYKENDAHL RD STE 102
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2939
Practice Address - Country:US
Practice Address - Phone:281-364-2673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor