Provider Demographics
NPI:1568734119
Name:KESTI, TERI JO (CD (DONA))
Entity Type:Individual
Prefix:MS
First Name:TERI
Middle Name:JO
Last Name:KESTI
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55807-2001
Mailing Address - Country:US
Mailing Address - Phone:218-428-8374
Mailing Address - Fax:
Practice Address - Street 1:4603 W 8TH ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55807-2001
Practice Address - Country:US
Practice Address - Phone:218-428-8374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-28
Last Update Date:2012-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula