Individual
DR. THOMAS MATTHEW ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 N UNION ST # 107, PONCA, NE 68770-7297
(402) 755-4111
Mailing address
PO BOX 107, PONCA, NE 68770-0107
(402) 755-4111
(913) 568-8510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1185
NE
111N00000X
Chiropractor
4640
KS
Other
Enumeration date
07/19/2006
Last updated
08/15/2014
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