Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0006986 | CO |
N | 207R00000X | Internist | CHR.0006986 | CO |
N | 111NI0900X | Internist | CHR.0006986 | CO |
N | 111NN1001X | Nutrition | CHR.0006986 | CO |
N | 111NP0017X | Pediatric Chiropractor | CHR.0006986 | CO |
N | 225700000X | Massage Therapist |
NPI | 1891988176 |
---|---|
Provider Name | Dr. Tara S Zeller |
First Address | Fort Collins, CO 80524-4374 |
Second Address | Fort Collins, CO 80524-4374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2007 |
Last Update Date | 19/06/2013 |