Provider Demographics
NPI:1972532869
Name:SANIO, THOMAS LEWIS (DC, BS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:LEWIS
Last Name:SANIO
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 N WINDSONG DR
Mailing Address - Street 2:SUITE B1
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-1208
Mailing Address - Country:US
Mailing Address - Phone:928-775-8750
Mailing Address - Fax:928-775-8705
Practice Address - Street 1:3075 N WINDSONG DR
Practice Address - Street 2:SUITE B1
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1208
Practice Address - Country:US
Practice Address - Phone:928-775-8750
Practice Address - Fax:928-775-8705
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor