Provider Demographics
NPI:1346530706
Name:DANIELS, TAMEKA TANYANIQUE (DC)
Entity Type:Individual
Prefix:DR
First Name:TAMEKA
Middle Name:TANYANIQUE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3615 S HOUSTON LEVEE RD
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9192
Mailing Address - Country:US
Mailing Address - Phone:901-221-7173
Mailing Address - Fax:901-221-7934
Practice Address - Street 1:1835 UNION AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3921
Practice Address - Country:US
Practice Address - Phone:901-552-5461
Practice Address - Fax:901-552-5471
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor