SearchMichigan225800000X

Marrissa Tackett

NPI 1326551201 · on the registry since 2017

Practice

Address
10483 Dixie Hwy
Holly, MI 48442
Phone
(734) 657-2054
Organisation at this address
Dixie Lodge, Llc
Level 11 Physical Therapy
Level 11 Physical Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
225800000X
225800000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-14

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 Michigan