Provider Demographics
NPI:1730101775
Name:LOHER, TERRANCE JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:JOHN
Last Name:LOHER
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 1:804 OLDE PIONEER TRL APT 163
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6219
Mailing Address - Country:US
Mailing Address - Phone:423-744-4094
Mailing Address - Fax:
Practice Address - Street 1:804 OLDE PIONEER TRL APT 163
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-6219
Practice Address - Country:US
Practice Address - Phone:423-744-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor