MRS. Tara H Theisen, D.C.

NPI #1356302756 in Freeport, Illinois

Provider Information

NPI Number: 1356302756
Entity Type: Individual
Name: MRS. Tara H Theisen, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 28, 2006
Last Updated: Aug 7, 2015

Practice Location

Address: 1019 W GALENA AVE
City: Freeport
State: Illinois
ZIP Code: 61032-3819
Phone: (815) 232-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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