Provider Demographics
NPI:1063586972
Name:CROW, TERRY D (DC)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:D
Last Name:CROW
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 1:204 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-2150
Mailing Address - Country:US
Mailing Address - Phone:785-877-2645
Mailing Address - Fax:785-874-4244
Practice Address - Street 1:204 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654-2150
Practice Address - Country:US
Practice Address - Phone:806-477-0166
Practice Address - Fax:785-874-4244
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5916111N00000X
TX11827111N00000X
KSC-3758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB155053OtherPROVIDER ACCESS NUMBER
KS014205Medicare ID - Type UnspecifiedCMS POVIDER NUMBER