Provider Demographics
NPI:1144082819
Name:DEMPSEY, TIMOTHY OLEN (LMT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:OLEN
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:COWPENS
Mailing Address - State:SC
Mailing Address - Zip Code:29330-0506
Mailing Address - Country:US
Mailing Address - Phone:864-515-1255
Mailing Address - Fax:
Practice Address - Street 1:310 N LIMESTONE ST UNIT B
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3138
Practice Address - Country:US
Practice Address - Phone:864-515-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13071225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist