Individual provider · Type 1 NPI

Micah Bonola, DC

Chiropractor · Fort Worth, TX

NPI number 1770025934 Active

Practice location

1300 W. Rosedale St, Ste. A
Fort Worth, TX 76104

Mailing address

1800 Barrington Dr
Roanoke, TX 76262

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCHR.0007242 (CO)
Chiropractor Primary 111N00000X13249 (TX)

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 1770025934

Micah Bonola, DC's National Provider Identifier is 1770025934, issued on Nov 4, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 12, 2016.