Provider Demographics
NPI:1023618246
Name:LAND, TORI JO (DC)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:JO
Last Name:LAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:TORI
Other - Middle Name:JO
Other - Last Name:MEYSENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:25946 STATE HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:NE
Mailing Address - Zip Code:68638-4417
Mailing Address - Country:US
Mailing Address - Phone:402-367-9245
Mailing Address - Fax:
Practice Address - Street 1:25946 STATE HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:NE
Practice Address - Zip Code:68638-4417
Practice Address - Country:US
Practice Address - Phone:402-367-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6111N00000X
NE2077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor