Tobe Thacker

Chiropractor · Broken Bow, OK

Organization Active NPI

NPI number 1871952481

Practice location

1605 S Park Dr
Broken Bow, OK 74728-5724
Phone
(580) 584-3385

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NPI record

NPI
1871952481
Entity type
Organization (Type 2)
Enumeration date
February 11, 2016
Last updated
January 14, 2020
Certified
January 14, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIA-1704 ID

Authorized official

Name
Dr. Tobe Thacker, DC
Title
Owner
Phone
(580) 584-3385

Other names

  • Broken Bow Chiropractic

About Tobe Thacker

Tobe Thacker is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1605 S Park Dr, Broken Bow, OK 74728-5724. The NPI number 1871952481 was assigned on February 11, 2016 and the record was last updated on January 14, 2020.

Tobe Thacker lists a license in the registry: #CHIA-1704 (ID) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Tobe Thacker, DC, Owner.

Frequently asked questions

What is the NPI number of Tobe Thacker?

The NPI number is 1871952481.

What is the phone number of Tobe Thacker?

The phone number listed for the practice location is (580) 584-3385.

Where is Tobe Thacker located?

1605 S Park Dr, Broken Bow, OK 74728-5724.

What is the taxonomy code for Tobe Thacker?

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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