# TARA TEDRICK DC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811126006
- **Authorized official:** MRS. TARA K. TEDRICK D.C. (CHIROPRACTOR)
- **Authorized official phone:** (808) 254-5577

## Contact information

- **Practice address:** 970 N. KALAHEO AVE., C315, KAILUA, HI 96734
- **Practice address phone:** (808) 254-5577
- **Mailing address:** 970 N KALAHEO AVE, SUITE C315, KAILUA, HI 96734-1866
- **Mailing address phone:** (808) 254-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 03/14/2016