IndividualActive
Marisa Tetreault
NPI 1063904191 · Other Technician · Columbia, SC
Marisa Tetreault is a Other Technician provider in Columbia, SC (NPI 1063904191).
Provider details
- NPI number
- 1063904191
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
612 Devine St Unit 434
Columbia, SC 29201-5276
Phone: (704) 473-5172
Street-level locationGet directions
Mailing address
612 Devine St Unit 434
Columbia, SC 29201-5276
Registry dates
- Enumerated
- 2018-06-04
- Last updated
- 2018-06-04
Frequently asked questions
- What is Marisa Tetreault's NPI number?
- Marisa Tetreault's National Provider Identifier (NPI) is 1063904191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Tetreault's specialty?
- Marisa Tetreault is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Marisa Tetreault located?
- Marisa Tetreault's practice location on file with NPPES is 612 Devine St Unit 434, Columbia, SC 29201-5276.
- What is Marisa Tetreault's phone number?
- The practice phone number listed in the NPPES registry for Marisa Tetreault is (704) 473-5172.
- Is Marisa Tetreault's NPI active?
- Yes — Marisa Tetreault's NPI (1063904191) is active in the NPPES registry as of the last update on 2018-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.