Individual provider · Type 1 NPI
Tara Jo Thompson, DC
Chiropractor · Wyanet, IL
NPI number
1285629402
Active
Practice location
102 W Main St.
Wyanet, IL 61379-0010
Fax (815) 699-7334
Mailing address
P.o. Box 10
Wyanet, IL 61379-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038007591 (IL) |
Chiropractor: 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.
About NPI 1285629402
Tara Jo Thompson, DC's National Provider Identifier is 1285629402, issued on Sep 14, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wyanet, IL. The record was last updated on Mar 29, 2012.