Individual provider · Type 1 NPI

Carisa Dee Tacke

Occupational Therapy Assistant · La Crescent, MN

NPI number 1962170837 Active

Practice location

101 S Hill St
La Crescent, MN 55947-1389

Call (507) 895-4445 Map

Mailing address

435 S 1st St
La Crescent, MN 55947-1323

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X202463 (MN)
Occupational Therapy Assistant Primary 224Z00000X563247 (WI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1962170837

Carisa Dee Tacke's National Provider Identifier is 1962170837, issued on Sep 3, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Crescent, MN. The record was last updated on Sep 26, 2023.