Provider Demographics
NPI:1245454594
Name:JOY, TIMOTHY WARREN (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:WARREN
Last Name:JOY
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:PO BOX 7208
Mailing Address - Street 2:SUITE H
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98417-0208
Mailing Address - Country:US
Mailing Address - Phone:253-683-4277
Mailing Address - Fax:253-683-4278
Practice Address - Street 1:5013 S 56TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-1348
Practice Address - Country:US
Practice Address - Phone:253-475-0550
Practice Address - Fax:253-475-0596
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8856065Medicare ID - Type UnspecifiedPROVIDER ID
WA8856064Medicare ID - Type UnspecifiedGROUP ID