Provider Demographics
NPI:1487488193
Name:ROHM, MARIAH K (DC)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:K
Last Name:ROHM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4340
Mailing Address - Country:US
Mailing Address - Phone:651-434-0808
Mailing Address - Fax:
Practice Address - Street 1:3001 E SKYLINE DR STE 115
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-2144
Practice Address - Country:US
Practice Address - Phone:520-344-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9388111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor