Provider Demographics
NPI:1700042066
Name:TRATO, TAMMIE MARIE (PTA)
Entity Type:Individual
Prefix:MS
First Name:TAMMIE
Middle Name:MARIE
Last Name:TRATO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7656 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746-9619
Mailing Address - Country:US
Mailing Address - Phone:989-871-2708
Mailing Address - Fax:
Practice Address - Street 1:7656 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:MI
Practice Address - Zip Code:48746-9619
Practice Address - Country:US
Practice Address - Phone:989-871-2708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant