Carisa Dee Tacke
Carisa Dee Tacke is an Occupational Therapy Assistant in LA Crescent, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.
- Licensed in
- MN, WI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
101 S Hill StLA Crescent, MN 55947-1389
Phone: (507) 895-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 563247 (WI) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 202463 (MN) |
Record details
| NPI number | 1962170837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 3, 2021 |
| Last updated in NPPES | September 26, 2023 |
| Certification date | September 26, 2023 |
Other providers in LA Crescent
-
Danielle Boardman, COTA
101 S Hill St, LA Crescent, MN 55947-1389 · (507) 895-4445
-
Allison Burke
101 S Hill St, LA Crescent, MN 55947-1389 · (507) 895-4445
-
MS. Amber Jean Hill, COTA
101 S Hill St, LA Crescent, MN 55947-1389 · (507) 895-4445