Provider Demographics
NPI:1841575156
Name:EDRINGTON, THOMAS KENT
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:KENT
Last Name:EDRINGTON
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 1:940 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6113
Mailing Address - Country:US
Mailing Address - Phone:707-267-8015
Mailing Address - Fax:
Practice Address - Street 1:940 9TH ST
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6113
Practice Address - Country:US
Practice Address - Phone:707-267-8015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist