Provider Demographics
NPI:1164631503
Name:FIMBY-CHRISTENSEN, TERESA (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:FIMBY-CHRISTENSEN
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 CAMINO TASSAJARA
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526
Mailing Address - Country:US
Mailing Address - Phone:925-743-0783
Mailing Address - Fax:
Practice Address - Street 1:1065 A ST.
Practice Address - Street 2:STE. 206
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541
Practice Address - Country:US
Practice Address - Phone:510-733-6164
Practice Address - Fax:510-733-9654
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor