Tara Thiele

NPI 1720625049 · on the registry since 2019

Practice

Address: 4076 Kothlow Ave
Menomonie, WI 54751
Phone: (715) 235-4537
Organisation at this address: Arbor Place, Inc.
Arbor Place, Inc.
Arbor Place, Inc.
Arbor Place, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YA0400X
101YM0800X
101YP2500X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-16

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 Wisconsin