Provider Demographics
NPI:1639895238
Name:TAUER, ROXANNE EVELYN (THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:EVELYN
Last Name:TAUER
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:MS
Other - First Name:ROXANNE
Other - Middle Name:EVELYN
Other - Last Name:KRALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 DEERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016
Mailing Address - Country:US
Mailing Address - Phone:651-402-7323
Mailing Address - Fax:
Practice Address - Street 1:67 DEERWOOD CT
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016
Practice Address - Country:US
Practice Address - Phone:651-402-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist