Tessa Larue DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TESSA LARUE DC LLC

Practice address

18624 Detroit Ave
Lakewood, OH 44107-3248

Phone

(440) 941-8212

NPI assigned

Dec 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tessa Madlyn Larue, DCNPI 1902360357

Title

Owner/ Chiropractor

Phone

(440) 941-8212

Specialties & licenses 1

Addresses

Other names 1

• Resilient Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tessa Madlyn Larue, DC

  • Chiropractor
  • Lakewood, OH
  • NPI 1902360357
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1437796141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18624 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073248",
            "telephone_number": "440-941-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18624 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073248",
            "telephone_number": "440-941-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA LARUE DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "MADLYN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "440-941-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Susan Tammaro, FNP-BC, APRN
• Hannah Tanis, PA
• Lee Ann Tanner
• Mallory Tedrick, LISW
• Isabel Tenreiro, CNP
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation

• Chiropractor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.