MARRISSA TACKETT (NPI# 1326551201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326551201 |
| Entity Type | Individual |
| Full Name | MARRISSA TACKETT |
| Practice Address |
10483 Dixie Hwy Holly MI 48442-9311 |
| Practice Telephone | 7346572054 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 69608 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10483 DIXIE HWY |
| City | HOLLY |
| State | MI |
| Zip Code | 48442-9311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730317785 | Level 11 Physical Therapy | Clinic/Center | 10483 Dixie Hwy, Holly, MI 48442-9210 | 2009-06-29 |
| 1124658042 | Teresa Renee Finnigan | Speech-Language Pathologist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2020-01-20 |
| 1851930960 | Andrea Meador | Occupational Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2020-01-06 |
| 1407491731 | Daniel Pillivant | Physical Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2019-11-11 |
| 1942845581 | Alicia Ann Gillman Warrick | Physical Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2019-11-07 |
| 1720622863 | Rachael Fox | Occupational Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2019-11-01 |
| 1275184145 | Erin Uehara | Physical Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2019-09-23 |
| 1942868823 | Carley Lukas | Physical Therapist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2019-06-05 |
| 1679063267 | Casey Polteraitis | Speech-Language Pathologist | 10483 Dixie Hwy, Holly, MI 48442-9311 | 2018-05-18 |
| 1063914646 | Heather Hepper | Physical Therapist | 10483 Dixie Hwy, Holly, MI 48442 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527195 | Tina Marie Graves | Intermediate Care Facility, Mentally Retarded | 16065 Fish Lake Rd, Holly, MI 48442 | 2018-05-07 |
| 1831627926 | Emily Marie Ulewicz | Occupational Therapist | 10483 Dixie Highway, Holly, MI 48442 | 2017-06-01 |
| 1427411305 | Amy Jacobs | Occupational Therapist | 10293 S Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1912360892 | Kathryn Ann Garza | Occupational Therapist | 10293 S. Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1730502030 | Jonathan Aldric Potvin | Physical Therapist | 10293 Saginaw Rd, Holly, MI 48442 | 2014-01-23 |
| 1558645572 | Jonathan Boutni | Physical Therapist | 10293 Dixie Highway, Suite 0, Holly, MI 48442 | 2011-10-10 |
| 1770875049 | Donald Mackenzie | Pharmacist | 15242 N Holly Rd, Holly, MI 48442 | 2011-05-05 |
| 1235333295 | Michael Martin Katz | Psychologist | 15249 Fish Lake Rd, Holly, MI 48442 | 2007-06-13 |
| 1629114293 | Fred T Phillips | Dentist | 503 S Broad St, Holly, MI 48442 | 2007-01-30 |
| 1053495648 | Rose Hill Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5130 Rose Hill Blvd, Holly, MI 48442 | 2006-10-24 |
| Find all providers in zip 48442 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594300 | Denise Graham | Recreation Therapist | 3302 Herrington Dr, Holly, MI 48442-1903 | 2015-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.