Tabitha Radermacher, L.AC

NPI #1881005932 in Ortonville, Minnesota

Provider Information

NPI Number: 1881005932
Entity Type: Individual
Name: Tabitha Radermacher, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: May 12, 2014
Last Updated: May 12, 2014

Practice Location

Address: 450 EASTVOLD AVE
City: Ortonville
State: Minnesota
ZIP Code: 56278-1252
Phone: (320) 839-2502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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