Provider Demographics
NPI:1174285829
Name:HUANG, TIFFANY (DC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:HUANG
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 1:10235 WOODROSE LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5418
Mailing Address - Country:US
Mailing Address - Phone:573-289-2973
Mailing Address - Fax:
Practice Address - Street 1:255 UNION BLVD STE 330
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1899
Practice Address - Country:US
Practice Address - Phone:720-476-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor