Thomas Owen Fullmer, D.C.

Chiropractor · Providence, UT

Individual Active NPI

NPI number 1134451529

Practice location

1652 S Highway 165
Providence, UT 84332-6701
Phone
(435) 752-5522
Fax
(435) 752-3075

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NPI record

NPI
1134451529
Entity type
Individual (Type 1)
Enumeration date
February 9, 2010
Last updated
April 18, 2024
Certified
April 18, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 7563542-1202 UT

About Dr. Fullmer

Thomas Owen Fullmer, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1652 S Highway 165, Providence, UT 84332-6701. The NPI number 1134451529 was assigned on February 9, 2010 and the record was last updated on April 18, 2024.

Dr. Fullmer lists a license in the registry: #7563542-1202 (UT) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Owen Fullmer, D.C.?

The NPI number is 1134451529.

What is the phone number of Dr. Fullmer?

The phone number listed for the practice location is (435) 752-5522.

Where is Dr. Fullmer located?

1652 S Highway 165, Providence, UT 84332-6701.

What is the taxonomy code for Dr. Fullmer?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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