Doctor Name: | THOMAS HOLBROOK |
NPI Number: | 1275576019 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1841 |
Business Practice Address: | 15574 Edgewood Dr Suite 102 Baxter, MN - 564016955 |
Business Phone Number: | 2188292665 |
Business Fax Number: | 2188294855 |
Mailing Address: | 15574 Edgewood Dr, Suite 102 BAXTER |
State: | MN |
Postal Code: | 564016955 |
Phone Number: | 2188292665 |
Fax Number: | 2188294855 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |