Theodore R Liautaud Jr. (NPI# 1568734325, PAC ID# 5395056295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1568734325 |
| PAC ID by PECOS | 5395056295 |
| Professional Enrollment ID | I20150618002218 |
| Full Name | Theodore R Liautaud Jr. |
| Address |
115 A Sw Main St Liautaud Family Chiropractic Melcher IA 50163-7828 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 A Sw Main St, Liautaud Family Chiropractic, Melcher, IA 50163-7828 | ||
| 114 /2 E Monroe St, Chiropractic Hut, Pleasantville, IA 50225-7744 |
| Street Address |
115 A SW MAIN ST LIAUTAUD FAMILY CHIROPRACTIC |
| City | MELCHER |
| State | IA |
| Zip | 50163-7828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie A Goff | Nurse Practitioner | 113 N Main St, Melcher, IA 50163-7811 |
| City | MELCHER |
| Zip Code | 50163 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MELCHER + CHIROPRACTIC |
Please comment or provide details below to improve the information on Theodore R Liautaud Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.