Provider Demographics
NPI:1386252922
Name:THOMAS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:THOMAS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:PIERSON-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-406-3950
Mailing Address - Street 1:200 JEFFERSON RD STE 106
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-1999
Mailing Address - Country:US
Mailing Address - Phone:978-658-3699
Mailing Address - Fax:
Practice Address - Street 1:200 JEFFERSON RD STE 106
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-1999
Practice Address - Country:US
Practice Address - Phone:978-658-3699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty