Individual provider · Type 1 NPI
Thaddeus Keklak, DC
Chiropractor · Bristol, TN
NPI number
1962061671
Active
Practice location
911 Anderson St
Bristol, TN 37620-2105
Fax (423) 793-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC011478 (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 1962061671
Thaddeus Keklak, DC's National Provider Identifier is 1962061671, issued on Jun 7, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bristol, TN. The record was last updated on May 16, 2024.