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Individual

DANIEL SCOTT TANIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3899 W FRONT ST, TRAVERSE CITY, MI 49684-8103
(231) 944-6541
Mailing address
303 W 12TH ST, TRAVERSE CITY, MI 49684-4003
(231) 740-4776

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
01/20/2022
Last updated
01/20/2022
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