NPI 1114512159
Talli Lynn Vadnais, PTA
Practice location
- Address
- 15023 21 Mile Rd, Shelby Township, MI 48315-5024
- Phone
- (586) 286-9644
- Mailing address
- 800 Chippewa St, Mount Clemens, MI 48043-3020
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1114512159
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2021
- Record last updated
- 2 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.