Individual provider · Type 1 NPI
Thomas Matthew Etter, DC
Chiropractor · Ponca, NE
NPI number
1477572345
Active
Practice location
111 N Union St # 107
Ponca, NE 68770-7297
Mailing address
PO Box 107
Ponca, NE 68770-0107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 4640 (KS) |
| Chiropractor Primary | 111N00000X | 1185 (NE) |
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 1477572345
Thomas Matthew Etter, DC's National Provider Identifier is 1477572345, issued on Jul 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponca, NE. The record was last updated on Aug 15, 2014.