Provider Demographics
NPI:1780155234
Name:DAVIS, TERI (ND)
Entity type:Individual
Prefix:DR
First Name:TERI
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:DIMAGGIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8809 E DEXTER DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5637
Mailing Address - Country:US
Mailing Address - Phone:520-404-6685
Mailing Address - Fax:
Practice Address - Street 1:8809 E DEXTER DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5637
Practice Address - Country:US
Practice Address - Phone:520-404-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ78-327175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath