Organization
TC AUDIOLOGY LLC
Active
Other names
TC Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA THIESSE AU.D. (AUDIOLOGIST/OWNER)
(320) 523-3435
Entity
Organization
Contact information
Practice address
600 E PARK AVE STE 2, OLIVIA, MN 56277-1370
(320) 523-3435
(320) 323-4374
Mailing address
611 E FAIRVIEW AVE, OLIVIA, MN 56277-4213
(320) 523-1085
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9024
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619303682
NPI
MN
Enumeration date
06/02/2014
Last updated
06/13/2019
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