Provider Demographics
NPI:1003024886
Name:TODA, ROBERT I (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:I
Last Name:TODA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 RUNNALS RD
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-9234
Mailing Address - Country:US
Mailing Address - Phone:802-295-9583
Mailing Address - Fax:
Practice Address - Street 1:216 RUNNALS RD
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-9234
Practice Address - Country:US
Practice Address - Phone:802-295-9583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001056111N00000X
HI383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor