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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 TherapyInferred 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