MEDICARE: DR. TECLA FULLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8514	AZ

General Provider Information

NPI Number	:	1285179457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TECLA FULLER DC

Provider Business Mailing Address
First Line	:	1728 S GREENFIELD RD
Second Line	:	SUITE 109
City	:	MESA
State	:	AZ
Zip	:	85206-3485
Country	:	US
Telephone Number	:	480-744-0186
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 S GREENFIELD RD
Second Line	:	SUITE 109
City	:	MESA
State	:	AZ
Zip	:	85206-3485
Country	:	US
Telephone Number	:	480-744-0186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2016
Last Update Date	:	12/27/2016

Similar Medicare Providers

1649715822 — HOPEFUL CHIROPRACTIC LLC
Practice Location Address:

1728 S GREENFIELD RD , SUITE 109
MESA, AZ
85206-3485

Practice Phone: 480-744-0186
Practice Fax:

1043755143 — DR. REX DUSTIN FULLER DC
Practice Location Address:

1728 S GREENFIELD RD , SUITE 109
MESA, AZ
85206-3485

Practice Phone: 480-744-0186
Practice Fax:

1487034682 — BRYCE DAVID OLSEN D.O.
Practice Location Address:

1501 N CAMPBELL AVE
TUCSON, AZ
85724-0001

Practice Phone: 520-626-6053
Practice Fax:

1669799664 — DR. MINDY MARIE HAGSTROM O.D.
Practice Location Address:

3635 E INVERNESS AVE STE 107
MESA, AZ
85206-3848

Practice Phone: 480-372-8950
Practice Fax: 480-835-1222

1316968118 — DR. JACQUELYN WYMAN OD
Practice Location Address:

3635 E INVERNESS AVE STE 107
MESA, AZ
85206-3848

Practice Phone: 480-372-8950
Practice Fax: 480-835-1222

1063282366 — LAUREN KUROWSKI OD
Practice Location Address:

3635 E INVERNESS AVE STE 107
MESA, AZ
85206-3848

Practice Phone: 480-372-8950
Practice Fax: 480-835-1222

Directions to “ DR. TECLA FULLER DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.