Doctor Name: | DR. THOMAS PATRICK ENTWISTLE |
NPI Number: | 1528353497 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH 9645 |
Business Practice Address: | 1611 N Main St Kissimmee, FL - 347443304 |
Business Phone Number: | 4073444878 |
Business Fax Number: | 4073447878 |
Mailing Address: | 1611 N Main St, KISSIMMEE |
State: | FL |
Postal Code: | 347443304 |
Phone Number: | 4073444878 |
Fax Number: | 4073447878 |
NPI Enumeration Date: | 06/18/2011 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 9645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |