Most Relevant Information
Provider Data
| NPI Number: | 1003045295 |
| Provider Name: | TARA TEDRICK D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 1326 |
Most Important Dates
| Enumeration Date: | 07/08/2009 |
| Last Updated: | 03/14/2016 |
Provider Practice Location
970 N. KALAHEO AVENUE
C315
KAILUA
HI
96734
Practice Location Phone/Fax
| Phone: | 8082545577 |
| Fax: |
Provider Mailing Location
970 N KALAHEO AVE STE C315
KAILUA
HI
967341883
Provider Mailing Phone/Fax
| Phone: | 8082545577 |
| Fax: |