Provider Demographics
NPI:1225837636
Name:TISCHER, ELLA
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:TISCHER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:
Other - Last Name:HACKETT - REICHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23818 MONROE ST NE
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:MN
Mailing Address - Zip Code:55005-9846
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23818 MONROE ST NE
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:MN
Practice Address - Zip Code:55005-9846
Practice Address - Country:US
Practice Address - Phone:320-828-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach