Provider Demographics
NPI:1790939361
Name:ADAMS, TAWNIA L (D,C, DACBR)
Entity Type:Individual
Prefix:DR
First Name:TAWNIA
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:D,C, DACBR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 230347
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-0347
Mailing Address - Country:US
Mailing Address - Phone:907-344-5288
Mailing Address - Fax:907-344-5278
Practice Address - Street 1:9440 AUTUMN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-5010
Practice Address - Country:US
Practice Address - Phone:907-344-5288
Practice Address - Fax:907-344-5278
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK225111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology