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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC008617L (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.