THERESA MELLOM DC NPI 1134608425

NPI Information

NPI: 1134608425
Provider Name: THERESA MELLOM, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
820 E PARADISE DR
WEST BEND, WI
ZIP 53095
Phone: (262) 334-8188
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Theresa Mellom, DC is a chiropractor in West Bend, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Theresa Mellom, DC NPI is 1134608425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 E PARADISE DR
WEST BEND, WI
ZIP 53095-383
Phone: (262) 334-8188
Fax: (262) 334-8166

The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		5290-12	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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