Provider Demographics
NPI:1467542019
Name:TICKLE, GINGER RENAE (DC)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:RENAE
Last Name:TICKLE
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 1:438 HIGHWAY 176 E
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-8686
Mailing Address - Country:US
Mailing Address - Phone:828-749-3434
Mailing Address - Fax:
Practice Address - Street 1:438 HIGHWAY 176 E
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-8686
Practice Address - Country:US
Practice Address - Phone:828-749-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor