Provider Demographics
NPI:1699459859
Name:ECHOLS, TERESA PAIGE (DC)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:PAIGE
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BELLTOWER LN SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35824-2442
Mailing Address - Country:US
Mailing Address - Phone:256-469-5814
Mailing Address - Fax:
Practice Address - Street 1:7734 MADISON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2379
Practice Address - Country:US
Practice Address - Phone:256-469-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor