Provider Demographics
NPI:1952466955
Name:TIMM, TERENCE LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:LEE
Last Name:TIMM
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:3100 CARLISLE BLVD NE
Mailing Address - Street 2:STE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1656
Mailing Address - Country:US
Mailing Address - Phone:505-888-4533
Mailing Address - Fax:505-888-0179
Practice Address - Street 1:3100 CARLISLE BLVD NE
Practice Address - Street 2:STE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1656
Practice Address - Country:US
Practice Address - Phone:505-888-4533
Practice Address - Fax:505-888-0179
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMNM1472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor