Provider Demographics
NPI:1659458164
Name:POST, TESSA M (DC)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:M
Last Name:POST
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 1:1212 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:41097-8503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1212 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:KY
Practice Address - Zip Code:41097-8503
Practice Address - Country:US
Practice Address - Phone:859-824-6700
Practice Address - Fax:859-824-6720
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1058178OtherASHN
KY7628174OtherAETNA
KYK4546COtherCHOICE CARE HUMANA
KY628962OtherACN
KY6011OtherCHA
KY85002723Medicaid
KY000000221738OtherANTHEM
KY2809906OtherAETNA -HMO
KY7628174OtherAETNA
KY0771401Medicare ID - Type UnspecifiedMEDICARE
KY85002723Medicaid