MEDICARE: THLH, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	2945	OH
2	111N00000X	Chiropractor	2945	OH

General Provider Information

NPI Number	:	1407044464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THLH, INC.

Provider Business Mailing Address
First Line	:	812 PARK AVE E
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44905-2860
Country	:	US
Telephone Number	:	419-747-9355
Fax Number	:	419-589-8892

Provider Business Practice Location Address
First Line	:	812 PARK AVE E
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44905-2860
Country	:	US
Telephone Number	:	414-747-9355
Fax Number	:	419-589-8892

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TONTOH MONROE SIMPSON
Credential	:	DC
Telephone Number	:	419-747-9355

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	12/12/2007

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Directions to “THLH, INC. ” Practice Location

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