Provider Demographics
NPI:1750146882
Name:TIMKO, REBECCA ROSE (DC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSE
Last Name:TIMKO
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 1:6917 ARLINGTON RD STE 308
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5212
Mailing Address - Country:US
Mailing Address - Phone:630-247-7088
Mailing Address - Fax:
Practice Address - Street 1:6917 ARLINGTON RD STE 308
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5212
Practice Address - Country:US
Practice Address - Phone:630-247-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor