Provider Demographics
NPI:1538434543
Name:ROHRBACH, TARA ANH (DC, BA)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:ANH
Last Name:ROHRBACH
Suffix:
Gender:F
Credentials:DC, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808-II E MADISON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4862
Mailing Address - Country:US
Mailing Address - Phone:206-743-8619
Mailing Address - Fax:
Practice Address - Street 1:2808-II E MADISON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4862
Practice Address - Country:US
Practice Address - Phone:206-743-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60248152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor