Teresa Park
NPI 1780313098 · on the registry since 2022 · sole proprietor
Practice
- Address
- 809 N 12th St
Murray, KY 42071 - Phone
- (270) 753-4101
- Fax
- (270) 753-7467
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-10
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 Kentucky