Provider Demographics
NPI:1306148234
Name:HAMBRICK, TERRY M (DC)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:M
Last Name:HAMBRICK
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 1:28051 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2647
Mailing Address - Country:US
Mailing Address - Phone:727-400-6969
Mailing Address - Fax:727-400-6969
Practice Address - Street 1:28051 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 101
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2647
Practice Address - Country:US
Practice Address - Phone:727-400-6969
Practice Address - Fax:727-400-6969
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor