Individual
DR. JOHN MICHAEL THIBODEAU II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
168 MORGAN AVE, JOHNSTON, RI 02919-6519
(401) 575-1771
Mailing address
168 MORGAN AVE, JOHNSTON, RI 02919-6519
(401) 575-1771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHI3652
MA
111N00000X
Chiropractor
Primary
DCP00711
RI
Other
Enumeration date
10/11/2024
Last updated
08/28/2025
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