Individual
TOBE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1605 S PARK DR, BROKEN BOW, OK 74728-5724
(580) 584-3385
(580) 584-5454
Mailing address
1605 S PARK DR, BROKEN BOW, OK 74728-5724
(580) 584-3385
(580) 584-5454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4336
OK
111N00000X
Chiropractor
Primary
CHIA-1704
ID
Other
Enumeration date
02/11/2016
Last updated
12/12/2019
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