Provider Demographics
NPI:1871505727
Name:ARNOLD, THOMAS L (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:ARNOLD
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 1:705 UINTA DR
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-5055
Mailing Address - Country:US
Mailing Address - Phone:307-875-1926
Mailing Address - Fax:307-875-5223
Practice Address - Street 1:705 UINTA DR
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-5055
Practice Address - Country:US
Practice Address - Phone:307-875-1926
Practice Address - Fax:307-875-5223
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY313479OtherBLUE CROSS BLUE SHIELD
WY313479OtherBLUE CROSS BLUE SHIELD