Provider Demographics
NPI:1225542814
Name:RYAN THOMAS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RYAN THOMAS CHIROPRACTIC PLLC
Other - Org Name:THOMAS CHIROPRACTIC CLINIC OF NATRONA HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-994-8587
Mailing Address - Street 1:2130 FREEPORT RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1542
Mailing Address - Country:US
Mailing Address - Phone:724-994-8587
Mailing Address - Fax:724-909-1707
Practice Address - Street 1:2130 FREEPORT RD STE 202
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1542
Practice Address - Country:US
Practice Address - Phone:724-994-8587
Practice Address - Fax:724-909-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty