Provider Demographics
NPI:1154472793
Name:HIGLEY, TROY PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:PATRICK
Last Name:HIGLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 S MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ZUMBROTA
Mailing Address - State:MN
Mailing Address - Zip Code:55992-1601
Mailing Address - Country:US
Mailing Address - Phone:507-732-4200
Mailing Address - Fax:507-732-5721
Practice Address - Street 1:404 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ZUMBROTA
Practice Address - State:MN
Practice Address - Zip Code:55992-1601
Practice Address - Country:US
Practice Address - Phone:507-732-4200
Practice Address - Fax:507-732-5721
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN003796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor