Provider Demographics
NPI:1194232942
Name:ABATELL, TECIA JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:TECIA
Middle Name:JEAN
Last Name:ABATELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TECIA
Other - Middle Name:JEAN
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:103 ROXBURY ST STE 103
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3800
Mailing Address - Country:US
Mailing Address - Phone:603-357-5700
Mailing Address - Fax:603-357-5151
Practice Address - Street 1:103 ROXBURY ST STE 103
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3800
Practice Address - Country:US
Practice Address - Phone:603-357-5700
Practice Address - Fax:603-357-5151
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007567111N00000X
NH1034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor