MEDICARE: DR. JACK THURSTON WHEATLEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0750	AZ

General Provider Information

NPI Number	:	1295816155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACK THURSTON WHEATLEY DC

Provider Business Mailing Address
First Line	:	840 W UNIVERSITY DR
Second Line	:	#7
City	:	MESA
State	:	AZ
Zip	:	85201-5529
Country	:	US
Telephone Number	:	480-964-1129
Fax Number	:	480-649-4375

Provider Business Practice Location Address
First Line	:	840 W UNIVERSITY DR
Second Line	:	#7
City	:	MESA
State	:	AZ
Zip	:	85201-5529
Country	:	US
Telephone Number	:	480-964-1129
Fax Number	:	480-649-4375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1134072713 — CLINICAL DX OF MESA LLC
Practice Location Address:

840 W UNIVERSITY DR STE 6
MESA, AZ
85201-5529

Practice Phone: 213-476-9779
Practice Fax:

1053360644 — SPECTRUM HOME HEALTH CARE, LLC
Practice Location Address:

840 W UNIVERSITY DR , SUITE #3
MESA, AZ
85201-5529

Practice Phone: 480-430-3052
Practice Fax: 480-452-1811

1912443144 — HOSPICE PROMISE OF MOHAVE LLC
Practice Location Address:

840 W UNIVERSITY DR STE 1
MESA, AZ
85201-5529

Practice Phone: 480-422-6092
Practice Fax: 480-422-6093

1215960638 — DESERET FAMILY PRACTICE, LTD.
Practice Location Address:

1425 S GREENFIELD RD , 101
MESA, AZ
85206-5529

Practice Phone: 480-981-3000
Practice Fax: 480-654-5761

1194758524 — DR. DAVID J FARNSWORTH D.C.
Practice Location Address:

1425 S GREENFIELD RD , 101
MESA, AZ
85206-5529

Practice Phone: 480-981-3000
Practice Fax: 480-325-3614

1972538569 — ROBERT J ALLEN M.D.
Practice Location Address:

1425 S GREENFIELD RD , 101
MESA, AZ
85206-5529

Practice Phone: 480-981-3000
Practice Fax: 480-654-5761

Directions to “ DR. JACK THURSTON WHEATLEY DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.