IndividualActive
Tammy Neely, C. PED., COA
NPI 1578867024 · Pedorthist · Pinconning, MI
Provider details
- NPI number
- 1578867024
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C. PED., COA
- Sex
- Female
- Sole proprietor
- Yes
- License
- CPED3150 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
308 S Warren St
Pinconning, MI 48650-9428
Phone: (989) 737-6689
Approximate (ZIP-level) locationGet directions
Mailing address
308 S Warren St
Pinconning, MI 48650-9428
Registry dates
- Enumerated
- 2010-12-26
- Last updated
- 2010-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.