Provider Demographics
NPI:1760918346
Name:DEMPSEY, ANNMARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 S LATSON RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-7576
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 S LATSON RD
Practice Address - Street 2:SUITE 110
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7576
Practice Address - Country:US
Practice Address - Phone:517-338-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist