Provider Demographics
NPI:1790456796
Name:RESZ, THOMAS ERIC (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:ERIC
Last Name:RESZ
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 1:1237 BOOKCLIFF AVE UNIT B5
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6763
Mailing Address - Country:US
Mailing Address - Phone:970-209-4142
Mailing Address - Fax:
Practice Address - Street 1:2232 N 7TH ST STE 11
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7454
Practice Address - Country:US
Practice Address - Phone:970-209-4142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor