person
Bounthong Toby Thepsoumphone, DC,LMT,BS
Massage Therapist in Davenport, Iowa
NPI 1679232730

Bounthong Toby Thepsoumphone is a Massage Therapist based in Bettendorf, IA. Bounthong Toby Thepsoumphone practices in Davenport, IA and has the professional credentials of DC,LMT,BS. The NPI Number for Bounthong Toby Thepsoumphone is 1679232730 and holds a License No. (Iowa).

The current practice location address for Bounthong Toby Thepsoumphone is 621 E Kimberly Rd, Davenport, IA and can be reached out via phone at 563-359-1985.

Location: 621 E Kimberly Rd, Davenport, IA, 52722-2971
person
Provider Profile Details
NPI Number
1679232730
Provider Name
Bounthong Toby Thepsoumphone
Credential
DC,LMT,BS
Provider Entity Type
Individual
Gender
Male
Address
621 E Kimberly Rd, Davenport, IA, 52722-2971
Phone Number
563-359-1985
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 E Kimberly Rd
City
State
Zip
52807-1623
Phone Number
563-359-1985
Fax Number
person
Provider Business Mailing Address Details
Address
621 E Kimberly Rd
City
State
Zip
52807-1623
Phone Number
563-359-1985
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
094910 (Iowa)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
115283 (Iowa)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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