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Theresa Mellom, DC
Chiropractor in West Bend, Wisconsin
NPI 1134608425

Theresa Mellom is a Chiropractor based in West Bend, WI. Theresa Mellom practices in West Bend, WI and has the professional credentials of DC. The NPI Number for Theresa Mellom is 1134608425 and holds a License No. 5290-12 (Wisconsin).

The current practice location address for Theresa Mellom is 820 E Paradise Dr, West Bend, WI and can be reached out via phone at 262-334-8188 and via fax at 262-334-8166.

Location: 820 E Paradise Dr, West Bend, WI, 53095-5383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134608425
Provider Name
Theresa Mellom
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
820 E Paradise Dr, West Bend, WI, 53095-5383
Phone Number
262-334-8188
Fax Number
262-334-8166
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
820 E Paradise Dr
City
West Bend
State
Wisconsin
Zip
53095-5383
Phone Number
262-334-8188
Fax Number
262-334-8166
person
Provider Business Mailing Address Details
Address
820 E Paradise Dr
City
West Bend
State
Wisconsin
Zip
53095-5383
Phone Number
262-334-8188
Fax Number
262-334-8166
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5290-12 (Wisconsin)
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.
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