Provider Demographics
NPI:1811036270
Name:ADAMS, TIFFANY GRACE (DC)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:GRACE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:GRACE
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:620 N MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-3385
Mailing Address - Country:US
Mailing Address - Phone:540-951-6900
Mailing Address - Fax:540-951-8900
Practice Address - Street 1:490 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1769
Practice Address - Country:US
Practice Address - Phone:540-483-4444
Practice Address - Fax:540-483-3601
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor