Individual
DR. THOMAS LEE TETER JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4635 WYANDOTTE ST, SUITE 205, KANSAS CITY, MO 64112-1509
(816) 729-0947
Mailing address
4635 WYANDOTTE ST, SUITE 205, KANSAS CITY, MO 64112-1509
(816) 729-0947
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2006002027
MO
111NS0005X
Sports Physician Chiropractor
5025
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006002027
LICENSE
MO
01
—
5025
KS LICENSE FOR DC
KS
Enumeration date
06/13/2007
Last updated
08/31/2011
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