Provider Demographics
NPI:1669632493
Name:FRANKS, THOMAS (NMN)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:(NMN)
Last Name:FRANKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 ELLEDGE MILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-8747
Mailing Address - Country:US
Mailing Address - Phone:336-670-2064
Mailing Address - Fax:336-651-8355
Practice Address - Street 1:3755 ELLEDGE MILL RD
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-8747
Practice Address - Country:US
Practice Address - Phone:336-670-2064
Practice Address - Fax:336-651-8355
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist