Provider Demographics
NPI:1881725562
Name:THURBER, MILO (DC)
Entity type:Individual
Prefix:DR
First Name:MILO
Middle Name:
Last Name:THURBER
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 1:8530 W GAGE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7162
Mailing Address - Country:US
Mailing Address - Phone:509-737-1400
Mailing Address - Fax:509-737-1406
Practice Address - Street 1:8530 W GAGE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7162
Practice Address - Country:US
Practice Address - Phone:509-737-1400
Practice Address - Fax:509-737-1406
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60264987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor