Provider Demographics
NPI:1558628842
Name:NORTHROP, THERESE FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:THERESE
Middle Name:FRANCES
Last Name:NORTHROP
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 1:1419 ALEXANDRIA PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-3530
Mailing Address - Country:US
Mailing Address - Phone:859-441-8700
Mailing Address - Fax:859-441-3092
Practice Address - Street 1:1419 ALEXANDRIA PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-3530
Practice Address - Country:US
Practice Address - Phone:859-441-8700
Practice Address - Fax:859-441-3092
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor