Tabitha Radermacher, L.AC
Individual provider Active NPI Acupuncturist · Ortonville, MN
NPI 1881005932 · NPPES record last updated May 12, 2014
Key facts
- NPI
- 1881005932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- Practice address
- 450 Eastvold Ave
Ortonville, MN 56278-1252 - Phone
- (320) 839-2502
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Yes |
Addresses
Primary practice location
450 Eastvold Ave
Ortonville, MN 56278-1252
Mailing address
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502
Other providers in Ortonville, MN
- Ortonville Area Health Services
- Ortonville Area Health Services
- Ortonville Chiropractic Clinic
- Kristen Pearson Ash
- Gregory J. Peterson
- Allan E Ross
- Robert S Ross
- Paul Rudebusch
- Bradley Runia
- Safe Phone Inc
All providers in Ortonville, MN · Acupuncturist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.