Doctor Name: | VICTORIA LYNN TATRO |
NPI Number: | 1285916031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 5473 |
Business Practice Address: | 2625 24th Ave S Ste B Grand Forks, ND - 582016180 |
Business Phone Number: | 7017467979 |
Business Fax Number: | 7017469758 |
Mailing Address: | 10213 Sherbrooke Beach Ln, PELICAN RAPIDS |
State: | MN |
Postal Code: | 565729332 |
Phone Number: | 4144126322 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |