4th T Pllc

NPI 1013216654 - Chiropractor - 111N00000X

NPI Details
NPI 1013216654
Enumeration Date 03/22/2011
Last Updated 05/28/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TORRY JAMES TORRY
Position PRESIDENT
Phone (563) 445-2273
Fax (563) 445-2273
Practice Location
3904 LILLIE AVE
STE 1
DAVENPORT IA, 52806-4422, US
Phone (563) 445-2273
Fax (563) 445-2273
Business Location
3904 LILLIE AVE
STE 1
DAVENPORT IA, 52806-4422, US
Phone (563) 445-2273
Fax (563) 445-2273
Toxanomy
Taxonomy Code 111N00000X
License State Iowa
License Number 06505
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According to our database, 4th T Pllc NPI is 1013216654, taxonomy code is 111N00000X and license number is 06505, license state is located at Iowa. 4th T Pllc physically located at 3904 Lillie Ave, Davenport IA, 52806-4422. NPI Number 1033115704 has the healthcare provider type.

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1013216654 NPI number is provided on an as is basis without warranty of any kind. 1013216654 is maintained by the National Plan & Provider Enumeration System. The contents of 4th T Pllc are for informational purposes only.