Provider Demographics
NPI:1679942775
Name:THOMA, CHRISTOPHER FRANKLIN (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FRANKLIN
Last Name:THOMA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:WAPITI
Mailing Address - State:WY
Mailing Address - Zip Code:82450-0308
Mailing Address - Country:US
Mailing Address - Phone:307-527-0355
Mailing Address - Fax:307-527-0360
Practice Address - Street 1:1120 BECK AVE
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3624
Practice Address - Country:US
Practice Address - Phone:307-527-0355
Practice Address - Fax:307-527-0360
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015031532111N00000X
WY825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor