Provider Demographics
NPI:1487493664
Name:STINSON, TIMOTHY ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ANDREW
Last Name:STINSON
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 1:1071 HAR-BER LAKES DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762
Mailing Address - Country:US
Mailing Address - Phone:479-879-4169
Mailing Address - Fax:
Practice Address - Street 1:1071 HAR-BER LAKES DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:479-396-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor