Provider Demographics
NPI:1720199987
Name:RHEY, TIMOTHY CLAUDE (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:CLAUDE
Last Name:RHEY
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 1:3755 S GILBERT RD
Mailing Address - Street 2:#109
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-2007
Mailing Address - Country:US
Mailing Address - Phone:480-821-9388
Mailing Address - Fax:480-821-6326
Practice Address - Street 1:3755 S GILBERT RD
Practice Address - Street 2:#109
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-2007
Practice Address - Country:US
Practice Address - Phone:480-821-9388
Practice Address - Fax:480-821-6326
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ76-0797987OtherTAX ID
AZAZ0156960OtherBLUE CROSS BLUE SHIELD OF
AZAZ0156960OtherBLUE CROSS BLUE SHIELD OF
76652Medicare ID - Type Unspecified