Lindsay Tactac, PT, DPT
Individual provider Active NPI Physical Therapist · Ann Arbor, MI
NPI 1689302804 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1689302804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 3131 S State St
Ann Arbor, MI 48108-1658 - Phone
- (734) 213-6285
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
3131 S State St
Ann Arbor, MI 48108-1658
Mailing address
14570 Island Dr
Sterling Heights, MI 48313-2212
Phone (586) 864-4855
Other providers in Ann Arbor, MI
- Megan Tabers
- Michael James Tabor
- Sussanah Tabot
- Michael Tacia
- Sara June Tackett
- Valerie Taglione
- Hussein Tahanulqiwa
- Ayman Waleed Taher
- Andrew Wen-Yuan Tai
- Arthur Tai
All providers in Ann Arbor, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.