Provider Demographics
NPI:1811036270
Name:HUFFMAN, TIFFANY GRACE (DC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:GRACE
Last Name:HUFFMAN
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 1:2727 BANDY RD SE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-4503
Mailing Address - Country:US
Mailing Address - Phone:540-797-8994
Mailing Address - Fax:540-483-3601
Practice Address - Street 1:1533 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-6388
Practice Address - Country:US
Practice Address - Phone:540-483-4444
Practice Address - Fax:540-483-3601
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor