NPI 1114146149

Timothy John Rose, DC

Practitioner Chiropractor New Iberia, LA

Practice location

Address: 405 N Lewis St, New Iberia, LA 70563-2013
Phone: (337) 364-2225

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 782 (LA)

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Registry record

NPI: 1114146149
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.