Provider Demographics
NPI:1649976507
Name:THOMPSON, NASH O (DC)
Entity type:Individual
Prefix:DR
First Name:NASH
Middle Name:O
Last Name:THOMPSON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 NW DONOVAN RD APT 109
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4598
Mailing Address - Country:US
Mailing Address - Phone:417-353-9539
Mailing Address - Fax:
Practice Address - Street 1:750 NW MAIN ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-9309
Practice Address - Country:US
Practice Address - Phone:417-353-9539
Practice Address - Fax:866-628-1881
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4530111N00000X
MO2024002468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor