Provider Demographics
NPI:1801851134
Name:AAMOT, THOMAS H (DC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:H
Last Name:AAMOT
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 1:1930 MESQUITE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5772
Mailing Address - Country:US
Mailing Address - Phone:928-855-2069
Mailing Address - Fax:928-855-3909
Practice Address - Street 1:1930 MESQUITE AVE STE 2
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5772
Practice Address - Country:US
Practice Address - Phone:928-855-2069
Practice Address - Fax:928-855-3909
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0242230OtherBLUE CROSS & BLUE SHIELD/