Provider Demographics
NPI:1255490298
Name:THOMAS P POOL
Entity Type:Organization
Organization Name:THOMAS P POOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:POOL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-543-7894
Mailing Address - Street 1:2403 SANTA FE DR
Mailing Address - Street 2:SUITE #7
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81006-1497
Mailing Address - Country:US
Mailing Address - Phone:719-543-7894
Mailing Address - Fax:719-546-2833
Practice Address - Street 1:2403 SANTA FE DR
Practice Address - Street 2:SUITE #7
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006-1497
Practice Address - Country:US
Practice Address - Phone:719-543-7894
Practice Address - Fax:719-546-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty