Healthcare Provider Details

I. General information

NPI: 1578868741
Provider Name (Legal Business Name): TNT & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N 1ST ST SUITE C
ODESSA MO
64076-5242
US

IV. Provider business mailing address

421 N 1ST ST SUITE C
ODESSA MO
64076-5242
US

V. Phone/Fax

Practice location:
  • Phone: 816-633-8187
  • Fax:
Mailing address:
  • Phone: 816-633-8187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCE005831
License Number StateMO

VIII. Authorized Official

Name: DR. MILTON COX III
Title or Position: STAFF PHYSICIAN
Credential: D.C.
Phone: 816-633-8187