MS. MARISA ELIZABETH TETREAULT
NPI 1063904191
Technician, Other in Columbia, SC

Q: What is Marisa Tetreault's NPI number?

The NPI number for Marisa Tetreault is 1063904191. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Q: What is Marisa Tetreault's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Tetreault was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2018

612 DEVINE ST UNIT 434, COLUMBIA, SC 29201(704) 473-5172 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Marisa Elizabeth Tetreault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARISA ELIZABETH TETREAULT (NPI 1063904191) is an individual technician, other provider in Columbia, South Carolina and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1063904191

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameMS. MARISA ELIZABETH TETREAULT

Location Address612 DEVINE ST UNIT 434Columbia, SC 29201-5276

Mailing Address612 Devine St Unit 434Columbia, SC 29201-5276 · (704) 473-5172

Phone(704) 473-5172

Sole ProprietorNo

Enumeration DateJune 4, 2018

✔ NPI 1063904191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

612 DEVINE ST UNIT 434, Columbia, SC 29201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Tetreault's NPI number?

The NPI number for Marisa Tetreault is 1063904191. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Marisa Tetreault located?

Marisa Tetreault practices at 612 Devine St Unit 434, Columbia, SC 29201. The listed phone number is (704) 473-5172.

What is Marisa Tetreault's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Marisa Tetreault was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.