Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISA DEE TACKE
Active Sole ProprietorCARISA DEE TACKE is a Occupational Therapy Assistant healthcare provider located in LA CRESCENT, Minnesota. NPI 1962170837 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LA CRESCENT, MN
Registration Details
- NPI Number
- 1962170837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2021 (4.9094760196625 yrs)
- Last Updated
- Sep 26, 2023
- Licenses
-
202463 (MN)563247 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 S HILL STLA CRESCENT, MN, 559471389Browse MN providers · Browse ZIP 55947
- Phone
- 5078954445
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in LA CRESCENT, MN
| Name | Credential | NPI |
|---|---|---|
| MS. AMBER JEAN HILL | COTA | 1750958500 |
| DANIELLE BOARDMAN | COTA | 1841078144 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.