Individual
THOMAS P FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
720 2ND ST E, KALISPELL, MT 59901-4678
(406) 257-7463
(406) 257-7466
Mailing address
720 2ND ST E, KALISPELL, MT 59901-4678
(406) 257-7463
(406) 257-7466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
383
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161041
—
MT
Enumeration date
11/13/2006
Last updated
07/08/2007
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