Provider Demographics
NPI:1609133651
Name:TOSH CHIROPRACTIC BODYWORK
Entity type:Organization
Organization Name:TOSH CHIROPRACTIC BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TOSH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-338-6288
Mailing Address - Street 1:1240 S WESTLAKE BLVD STE 133
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1986
Mailing Address - Country:US
Mailing Address - Phone:805-373-2639
Mailing Address - Fax:805-373-2638
Practice Address - Street 1:1240 S WESTLAKE BLVD STE 133
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1986
Practice Address - Country:US
Practice Address - Phone:805-373-2639
Practice Address - Fax:805-373-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty