Provider Demographics
NPI:1033850615
Name:TRAMP, TESSA JOANNE (DC)
Entity Type:Individual
Prefix:MS
First Name:TESSA
Middle Name:JOANNE
Last Name:TRAMP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5955 S 56TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3391
Mailing Address - Country:US
Mailing Address - Phone:402-217-2159
Mailing Address - Fax:
Practice Address - Street 1:5955 S 56TH ST STE 7
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3391
Practice Address - Country:US
Practice Address - Phone:402-217-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor