| NPI | 1518162858 |
|---|---|
| Other Name | RICKY THORNTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 299) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005314) |
| 213E00000X Podiatrist (Licence: TN 689) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-01-09 |