Individual
MR. THOMAS ALLEN REXROTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2411 W MOUNT PLEASANT ST, WEST BURLINGTON, IA 52655-9614
(319) 752-4544
(319) 753-5879
Mailing address
2500 SUNNYCLIFF EST, BURLINGTON, IA 52601-2450
(319) 754-6007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026021
—
IA
01
—
02602
BCBS ID NUMBER
IA
01
—
26986/01
HAWK-I
IA
Enumeration date
02/03/2006
Last updated
07/08/2007
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