Search › California › 172V00000X
Theresa Tillett
NPI 1528864527 · on the registry since 2025
Practice
- Address
- 1120 Gordon Ln
Santa Rosa, CA 95404 - Phone
- (415) 376-2310
- Organisation at this address
- Progress Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2025-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California