Individual provider · Type 1 NPI
Theodore Bernard Loos, DC
Chiropractor · Philadelphia, PA
NPI number
1477563807
Active
Practice location
6810 Ridge Ave
Philadelphia, PA 19128-2445
Fax (610) 643-6139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC008617L (PA) |
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.
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About NPI 1477563807
Theodore Bernard Loos, DC's National Provider Identifier is 1477563807, issued on Aug 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 7, 2008.