Provider Demographics
NPI:1205212156
Name:THORP FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:THORP FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROHDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-669-3361
Mailing Address - Street 1:PO BOX 443
Mailing Address - Street 2:
Mailing Address - City:THORP
Mailing Address - State:WI
Mailing Address - Zip Code:54771-0443
Mailing Address - Country:US
Mailing Address - Phone:715-669-3361
Mailing Address - Fax:715-669-7314
Practice Address - Street 1:204 W PROSPECT ST
Practice Address - Street 2:
Practice Address - City:THORP
Practice Address - State:WI
Practice Address - Zip Code:54771-9303
Practice Address - Country:US
Practice Address - Phone:715-669-3361
Practice Address - Fax:715-669-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty