Provider Demographics
NPI:1043195944
Name:MARCHI REISIG, THATIANA
Entity type:Individual
Prefix:
First Name:THATIANA
Middle Name:
Last Name:MARCHI REISIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 TULIK DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1134
Mailing Address - Country:US
Mailing Address - Phone:512-299-8481
Mailing Address - Fax:
Practice Address - Street 1:2439 TULIK DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-1134
Practice Address - Country:US
Practice Address - Phone:512-299-8481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator