MEDICARE: MARK THERIAULT D.C.

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	2346	NC

General Provider Information

NPI Number	:	1437159746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK THERIAULT D.C.

Provider Business Mailing Address
First Line	:	PO BOX 1375
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-2004
Country	:	US
Telephone Number	:	704-489-2273
Fax Number	:	704-489-2274

Provider Business Practice Location Address
First Line	:	1895 N HIGHWAY 16
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8642
Country	:	US
Telephone Number	:	704-489-2273
Fax Number	:	704-489-2274

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	03/22/2010

Similar Medicare Providers

1740707157 — DR. JASON LANGHOUGH DC, DACNB
Practice Location Address:

1895 N NC 16 BUSINESS HWY
DENVER, NC
28037-8642

Practice Phone: 704-489-2273
Practice Fax:

1205616125 — RED CLAY CHIROPRACTIC, PC
Practice Location Address:

1895 N NC 16 BUSINESS HWY
DENVER, NC
28037-8642

Practice Phone: 704-489-2273
Practice Fax:

1407788979 — MARIA FOWLER
Practice Location Address:

8101 UNITY CHURCH RD
DENVER, NC
28037-9394

Practice Phone: 704-740-7767
Practice Fax:

1831191402 — DR. WILLIAM M BARRETT MD
Practice Location Address:

514 N NC 16 BUSINESS HWY
DENVER, NC
28037-8245

Practice Phone: 828-244-4475
Practice Fax: 828-970-5912

1992707418 — DR. MOSES S RAJ MD
Practice Location Address:

268 GILLMAN RD STE A
DENVER, NC
28037-7925

Practice Phone: 704-659-7830
Practice Fax: 877-881-8455

1689668261 — DR. RODNEY LANE REDELSPERGER M.D.
Practice Location Address:

294 N HIGHWAY 16 , SUITE A
DENVER, NC
28037-8011

Practice Phone: 704-489-2400
Practice Fax: 704-489-2900

Directions to “ MARK THERIAULT D.C.” 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.