Provider Demographics
NPI:1447465604
Name:TOWERS, TIMOTHY JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JAMES
Last Name:TOWERS
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 1:1468 HAWKS NEST DR
Mailing Address - Street 2:UNIT B
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3632
Mailing Address - Country:US
Mailing Address - Phone:636-723-3340
Mailing Address - Fax:
Practice Address - Street 1:1468 HAWKS NEST DR
Practice Address - Street 2:UNIT B
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3632
Practice Address - Country:US
Practice Address - Phone:636-723-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE005210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor