Individual provider · Type 1 NPI
Dimitrios M. Theoharidis, DC
Chiropractor · Liberty, MO
NPI number
1982797262
Active
Practice location
601 S State Route 291 Ste B
Liberty, MO 64068-1958
Fax (816) 429-8471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | X010154 (NY) |
| Chiropractor Primary | 111N00000X | 006774 (MO) |
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 1982797262
Dimitrios M. Theoharidis, DC's National Provider Identifier is 1982797262, issued on Oct 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Liberty, MO. The record was last updated on Mar 13, 2024.