Provider Demographics
NPI:1356483358
Name:THOMM, MAUREEN M (DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:M
Last Name:THOMM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 W SOUTH BOULDER RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1196
Mailing Address - Country:US
Mailing Address - Phone:303-604-4358
Mailing Address - Fax:
Practice Address - Street 1:333 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1673
Practice Address - Country:US
Practice Address - Phone:303-604-4358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor