Provider Demographics
NPI:1699026815
Name:GARCIA, TIFFANY KATHLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:KATHLEEN
Last Name:GARCIA
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 1:1536 CAPITAL TRAIL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5716
Mailing Address - Country:US
Mailing Address - Phone:302-454-1230
Mailing Address - Fax:302-454-5855
Practice Address - Street 1:1536 CAPITAL TRAIL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5716
Practice Address - Country:US
Practice Address - Phone:302-454-1230
Practice Address - Fax:302-454-5855
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEF1-0000841OtherLICENSE #