Individual
MS. TISH A THORNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN DC
Contact information
Practice address
221 WASHINGTON STREET, GLOUCESTER, MA 01930-2642
(978) 281-5225
(978) 281-8789
Mailing address
221 WASHINGTON STREET, GLOUCESTER, MA 01930-2642
(987) 281-5225
(978) 281-8789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1396
MA
111N00000X
Chiropractor
ME252767
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609173
—
MA
01
—
723255
TUFTS
MA
Enumeration date
10/18/2006
Last updated
07/08/2007
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