Provider Demographics
NPI:1942822093
Name:FRAKES, TABITHA (DC)
Entity Type:Individual
Prefix:DR
First Name:TABITHA
Middle Name:
Last Name:FRAKES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5846 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8707
Mailing Address - Country:US
Mailing Address - Phone:989-573-8575
Mailing Address - Fax:
Practice Address - Street 1:3985 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-1828
Practice Address - Country:US
Practice Address - Phone:989-771-2225
Practice Address - Fax:989-754-2225
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor