MS. TASHA MARIE GLEASON
NPI 1427616242
Pedorthist in Merrill, WI
Active since June 05, 2019
About Ms. Tasha Marie Gleason NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TASHA MARIE GLEASON (NPI 1427616242) is an individual pedorthist provider in Merrill, Wisconsin and active in the NPI registry since June 2019.
NPPES Registry Identity
NPI1427616242
Entity TypeIndividualFemale
Primary Taxonomy224L00000X
Provider Legal NameMS. TASHA MARIE GLEASON
Location Address902 E 1ST STMerrill, WI 54452-2508
Mailing Address902 E 1st StMerrill, WI 54452-2508 · (715) 203-5730
Phone(715) 203-5730
Sole ProprietorYes
Enumeration DateJune 5, 2019
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1427616242 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition
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.
902 E 1ST ST, Merrill, WI 54452
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427616242, enumerated as an "individual" on June 05, 2019.
The provider is located at 902 E 1ST ST MERRILL, WI 54452 and the phone number is (715) 203-5730.
Pedorthist with taxonomy code 224L00000X.
