Provider Demographics
NPI:1609026491
Name:ARNOLD, THOMAS LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-3442
Mailing Address - Country:US
Mailing Address - Phone:765-674-1111
Mailing Address - Fax:765-674-1166
Practice Address - Street 1:1331 W 35TH ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-3442
Practice Address - Country:US
Practice Address - Phone:765-674-1111
Practice Address - Fax:765-674-1166
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor