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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TABITHA MAE THEILER, RST, CST

Active

MS. TABITHA MAE THEILER, RST, CST is a Medical Laboratory Technician healthcare provider located in ROCKFORD, Illinois. NPI 1750966115 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · ROCKFORD, IL

Registration Details

NPI Number
1750966115
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2021 (5.458507661113 yrs)
Last Updated
Mar 16, 2021
License
237000200 (IL)

Practice Information

Address
5666 E STATE ST
ROCKFORD, IL, 611082472
Browse IL providers · Browse ZIP 61108
Phone
8152262000
Primary Specialty
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.