Provider Demographics
NPI:1558433417
Name:THAU, RONA (DC)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:
Last Name:THAU
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 1:1174 E SANTA CLARA ST
Mailing Address - Street 2:PO BOX 23463 ALL MAIL GOES TO PO BOX
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-3463
Mailing Address - Country:US
Mailing Address - Phone:805-648-4725
Mailing Address - Fax:
Practice Address - Street 1:1174 E SANTA CLARA ST
Practice Address - Street 2:NO MAIL IS TO COME HERE
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001
Practice Address - Country:US
Practice Address - Phone:805-648-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 25521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor