National Provider Identifier

Timothy Robert Woodean, DC

Timothy Robert Woodean, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Wilson, NY and a listed phone number of (716) 751-2222.

NPI 1053140954Wilson, NYChiropractor

Profile Overview

NPI
1053140954
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
July 29, 2024
Last Updated
January 13, 2025

Practice Location

  • 638 Lake St Ste 3
  • Wilson, NY 14172-9600

Phone: (716) 751-2222

Mailing Address

  • 4233 Cambria Wilson RD
  • Lockport, NY 14094-9797

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1053140954
Entity Type
Individual
Last Name
Woodean
First Name
Timothy
Middle Name
Robert
Credential
DC
Mailing Street Address
4233 Cambria Wilson RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9797
Mailing Country
US
Mailing Phone
(716) 243-5136
Practice Street Address
638 Lake St Ste 3
Practice City
Wilson
Practice State
NY
Practice ZIP Code
14172-9600
Practice Country
US
Practice Phone
(716) 751-2222
Enumeration Date
July 29, 2024
Last Updated
January 13, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
January 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)