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Marissa Tait, CMT
NPI 1528501749 · on the registry since 2016 · sole proprietor
Practice
- Address
- 11706 Kling St
Apt 8
Valley Village, CA 91607 - Phone
- (323) 972-1727
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-19
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 California