Organization
T. H. GREEN CHIROPRACTIC, LLC
Active
Other names
Green Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HOWARD GREEN D.C. (DOCTOR OF CHIROPRACTIC)
(417) 522-9395
Entity
Organization
Contact information
Practice address
1713 US HIGHWAY 160 WEST, SOUTH RIDGE PLAZA, SUITE 215, WEST PLAINS, MO 65775-7669
(417) 257-1184
Mailing address
1134 W. MAPLEWOOD ST., SPRINGFIELD, MO 65807-4763
(417) 522-9395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005235
MO
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756208302
—
MO
Enumeration date
07/09/2010
Last updated
07/09/2010
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