NPI 1578867024

Tammy Marie Neely, CPEDCOA

Practitioner Pedorthist Pinconning, MI

Practice location

Address: 308 S Warren St, Pinconning, MI 48650-9428
Phone: (989) 737-6689

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3150 (MI)

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Registry record

NPI: 1578867024
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2010
Record last updated: 26 Dec 2010

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.