Individual provider · Type 1 NPI
Tammy Marie Neely, C. PED., COA
Pedorthist · Pinconning, MI
NPI number
1578867024
Active
Practice location
308 S Warren St
Pinconning, MI 48650-9428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED3150 (MI) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
About NPI 1578867024
Tammy Marie Neely, C. PED., COA's National Provider Identifier is 1578867024, issued on Dec 26, 2010. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Pinconning, MI. The record was last updated on Dec 26, 2010.