# MOUNTAIN VALLEY CHIROPRACTIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245478247
- **Authorized official:** DR. TERRENCE F THOMAS DC (SOLE MBR)
- **Authorized official phone:** (518) 873-6774

## Contact information

- **Practice address:** 1 WOODRUFF LN, ELIZABETHTOWN, NY 12932
- **Practice address phone:** (518) 873-6744
- **Practice address fax:** (518) 873-2744
- **Mailing address:** PO BOX 605, ELIZABETHTOWN, NY 12932-0605
- **Mailing address phone:** (518) 873-6744
- **Mailing address fax:** (518) 873-2744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011229 | NY | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 03/06/2009