Provider Demographics
NPI:1780892380
Name:CARRUTHERS, TIMOTHY SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SCOTT
Last Name:CARRUTHERS
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 1:801 E WATAUGA AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-4113
Mailing Address - Country:US
Mailing Address - Phone:423-929-3700
Mailing Address - Fax:423-929-8780
Practice Address - Street 1:801 E WATAUGA AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4113
Practice Address - Country:US
Practice Address - Phone:423-929-3700
Practice Address - Fax:423-929-8780
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001458111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor