Provider Demographics
NPI:1912193830
Name:RUPLEY, THOMAS M (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:RUPLEY
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 1:287 APPLETON ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-452-2727
Mailing Address - Fax:978-970-1432
Practice Address - Street 1:287 APPLETON
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2541
Practice Address - Country:US
Practice Address - Phone:978-452-2727
Practice Address - Fax:978-970-1432
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAYY3039Medicare UPIN