Thibodeau Chiropractic, Sc

NPI #1528241353 in Appleton, Wisconsin

Provider Information

NPI Number: 1528241353
Entity Type: Organization
Organization Name: Thibodeau Chiropractic, Sc
Primary Specialty: Chiropractor
Enumeration Date: Dec 15, 2007
Last Updated: Dec 15, 2007

Practice Location

Address: 1221 E NORTHLAND AVE
City: Appleton
State: Wisconsin
ZIP Code: 54911-8415
Phone: (920) 954-1002

Authorized Official

Name: DR. DANIEL JOHN THIBODEAU, DC
Title: OWNER
Phone: (920) 954-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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