Haley Timbrook, DC
Individual provider Active NPI Chiropractor · Freeport, FL
NPI 1104660976 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1104660976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH14934 (FL)
- Practice address
- 227 Bay Grove Blvd
Freeport, FL 32439-1723 - Phone
- (850) 880-6813
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14934 | FL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH14934 | FL | Yes |
Addresses
Primary practice location
227 Bay Grove Blvd
Freeport, FL 32439-1723
Mailing address
227 Bay Grove Blvd
Freeport, FL 32439-1723
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.