Healthcare Provider Details

I. General information

NPI: 1386252922
Provider Name (Legal Business Name): THOMAS CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JEFFERSON RD STE 106
WILMINGTON MA
01887-1999
US

IV. Provider business mailing address

200 JEFFERSON RD STE 106
WILMINGTON MA
01887-1999
US

V. Phone/Fax

Practice location:
  • Phone: 978-658-3699
  • Fax:
Mailing address:
  • Phone: 978-658-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KATELYN E PIERSON-THOMAS
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 206-406-3950