Marisa Mccormack

NPI #1730705518 in Shalimar, Florida

Provider Information

NPI Number: 1730705518
Entity Type: Individual
Name: Marisa Mccormack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2020
Last Updated: Jan 23, 2026

Practice Location

Address: 4 8TH ST UNIT A
City: Shalimar
State: Florida
ZIP Code: 32579-2146
Phone: (330) 554-0631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Krista L Evans, DPT	Physical Therapist	Shalimar	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Pro Vita Physical Therapy LLC Part of Pro Vita Physical Therapy, LLC	Physical Therapist	Shalimar	AI Deep Dive
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