Healthcare Provider Details

I. General information

NPI: 1528024411
Provider Name (Legal Business Name): TODD JAY TERHUFEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 E. ASH ST
GLOBE AZ
85501
US

IV. Provider business mailing address

905 E. ASH ST
GLOBE AZ
85501
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-0345
  • Fax: 928-425-2800
Mailing address:
  • Phone: 928-425-0345
  • Fax: 928-425-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4848
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: