Provider Demographics
NPI:1770563579
Name:PATTERSON, THOMAS A (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:PATTERSON
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 1:975 S RIFLE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3212
Mailing Address - Country:US
Mailing Address - Phone:303-750-3280
Mailing Address - Fax:303-750-0741
Practice Address - Street 1:975 S RIFLE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3212
Practice Address - Country:US
Practice Address - Phone:303-750-3280
Practice Address - Fax:303-750-0741
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor