Eli Clark Thom, DPT

Physical Therapist · Jackson, CA

Individual Active NPI

NPI number 1730764036

Practice location

12150 Industry Blvd Ste 42
Jackson, CA 95642-9375
Phone
(209) 223-9410
Fax
(209) 223-9450

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NPI record

NPI
1730764036
Entity type
Individual (Type 1)
Enumeration date
March 17, 2021
Last updated
March 17, 2021
Certified
March 17, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 299903 CA

Mailing address

PO Box 518
Rail Road Flat, CA 95248-0518
Phone
(209) 743-4058

About Dr. Thom

Eli Clark Thom, DPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 12150 Industry Blvd Ste 42, Jackson, CA 95642-9375. The NPI number 1730764036 was assigned on March 17, 2021 and the record was last updated on March 17, 2021.

Dr. Thom lists a license in the registry: #299903 (CA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eli Clark Thom, DPT?

The NPI number is 1730764036.

What is the phone number of Dr. Thom?

The phone number listed for the practice location is (209) 223-9410.

Where is Dr. Thom located?

12150 Industry Blvd Ste 42, Jackson, CA 95642-9375.

What is the taxonomy code for Dr. Thom?

The primary taxonomy code is 225100000X – Physical Therapist.

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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