Provider Demographics
NPI:1013150598
Name:TINKEY, MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:TINKEY
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 1:305 MCCASLIN BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2930
Mailing Address - Country:US
Mailing Address - Phone:303-926-4930
Mailing Address - Fax:209-961-4107
Practice Address - Street 1:305 MCCASLIN BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2930
Practice Address - Country:US
Practice Address - Phone:303-926-4930
Practice Address - Fax:720-996-1410
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-13
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0006842111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor