Individual provider · Type 1 NPI
Tiffany Johnson, DC
Chiropractor · West Fargo, ND
NPI number
1174622104
Active
Practice location
158 W Beaton Dr, Suite 200
West Fargo, ND 58078-2657
Mailing address
PO Box 425
West Fargo, ND 58078-0425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | ND766 (ND) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1174622104
Tiffany Johnson, DC's National Provider Identifier is 1174622104, issued on Sep 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Fargo, ND. The record was last updated on Jul 8, 2007.