Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Wayne Cork, CPRP, BS

Individual provider Specialist · NPI 1174000566

Timothy Wayne Cork, CPRP, BS is a Specialist in Coeur D Alene, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

2201 Ironwood Pl
Coeur D Alene, ID 83814-2670
Phone: (208) 769-4222
Fax: (208) 771-0628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1174000566
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRP , BS
Sole proprietorNo
NPI enumeratedJuly 27, 2018
Last updated in NPPESJuly 27, 2018

Other providers in Coeur D Alene