Individual
THADDEUS KEKLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
911 ANDERSON ST, BRISTOL, TN 37620-2105
(423) 764-2663
(423) 793-1100
Mailing address
911 ANDERSON ST, BRISTOL, TN 37620-2105
(423) 764-2663
(423) 793-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011478
PA
Other
Enumeration date
06/07/2019
Last updated
05/16/2024
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