Provider Demographics
NPI:1093229817
Name:PFARR, TERA (DC)
Entity Type:Individual
Prefix:DR
First Name:TERA
Middle Name:
Last Name:PFARR
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 1:4401 TAYLOR AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53405-4679
Mailing Address - Country:US
Mailing Address - Phone:262-994-7909
Mailing Address - Fax:
Practice Address - Street 1:4401 TAYLOR AVE STE 103
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53405-4679
Practice Address - Country:US
Practice Address - Phone:262-994-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4999-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor