Provider Demographics
NPI:1023142759
Name:LIND, TIM R (DC)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:R
Last Name:LIND
Suffix:
Gender:M
Credentials:DC
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Other - First Name:
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Mailing Address - Street 1:29834 N CAVE CREEK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2384
Mailing Address - Country:US
Mailing Address - Phone:480-513-8900
Mailing Address - Fax:541-389-4599
Practice Address - Street 1:29834 N CAVE CREEK RD STE 110
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2384
Practice Address - Country:US
Practice Address - Phone:480-513-8900
Practice Address - Fax:480-513-9395
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ8678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor