Thepsoumphone, Bounthong Toby

Thepsoumphone, Bounthong Toby is an individual health care provider with primary practice located at 621 E Kimberly Rd , Davenport IA 52807-1623. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is his primary health care specialty. Thepsoumphone, Bounthong Toby can be contacted via phone (563) 359-1985.

Contact Information

Primary practice address
621 E Kimberly Rd Davenport IA 52807-1623
Phone: (563) 359-1985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Chiropractic Providers / Chiropractor 111N00000X 115283 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 094910 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT-0004508 Delaware

Profile Details

NPI number 1679232730
LBN Legal business name Thepsoumphone, Bounthong Toby
Credentials DC, LMT, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2021
Last updated Jul 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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