Organization Name: | TARA CHIROPRACTIC INC. |
NPI Number: | 1558520734 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROXANNE C THORNTON (CHIROPRACTOR) |
Mailing Address: | 7197 Us Hwy 61 Suite E Saint Francisville |
State: | LA US |
Postal Code: | 70775 |
Phone Number: | 2256359555 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |