Provider Demographics
NPI:1003569666
Name:THERMO TECH INC
Entity Type:Organization
Organization Name:THERMO TECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:GARDNER-HEAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:TECHNICIAN OF MEDICA
Authorized Official - Phone:415-300-6527
Mailing Address - Street 1:P.O. BOX 891
Mailing Address - Street 2:
Mailing Address - City:KNIGHTS FERRY
Mailing Address - State:CA
Mailing Address - Zip Code:95361-2091
Mailing Address - Country:US
Mailing Address - Phone:209-881-3044
Mailing Address - Fax:
Practice Address - Street 1:17806 ELLEN ST
Practice Address - Street 2:
Practice Address - City:KNIGHTS FERRY
Practice Address - State:CA
Practice Address - Zip Code:95361-2091
Practice Address - Country:US
Practice Address - Phone:209-881-3044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NT0100XChiropractic ProvidersChiropractorThermographyGroup - Single Specialty