Tara K. Einsweiler-Mickelson

Developmental Therapist · East Dubuque, IL

Individual Active NPI

NPI number 1477941086

Practice location

7289 Hickory Ct
East Dubuque, IL 61025-9595
Phone
(815) 747-2646

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NPI record

NPI
1477941086
Entity type
Individual (Type 1)
Enumeration date
January 5, 2015
Last updated
January 5, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — IL

About Tara Einsweiler-Mickelson

Tara K. Einsweiler-Mickelson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 7289 Hickory Ct, East Dubuque, IL 61025-9595. The NPI number 1477941086 was assigned on January 5, 2015 and the record was last updated on January 5, 2015.

Frequently asked questions

What is the NPI number of Tara K. Einsweiler-Mickelson?

The NPI number is 1477941086.

What is the phone number of Tara Einsweiler-Mickelson?

The phone number listed for the practice location is (815) 747-2646.

Where is Tara Einsweiler-Mickelson located?

7289 Hickory Ct, East Dubuque, IL 61025-9595.

What is the taxonomy code for Tara Einsweiler-Mickelson?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.