NPI 1720395452

Jennifer Jo Tackett, ARTTHERAPISTATR

Practitioner Art Therapist Birmingham, MI

Practice location

Address: 1669 W Maple Rd, Birmingham, MI 48009-1230
Phone: (248) 646-3347

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X

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Registry record

NPI: 1720395452
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2010
Record last updated: 23 Jul 2014

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.