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        <issuerName>TACTILE SYSTEMS TECHNOLOGY INC</issuerName>
        <secFileNumber>001-37799</secFileNumber>
        <issuerAddress>
          <com:street1>1331 TYLER STREET NE STE 200</com:street1>
          <com:city>MINNEAPOLIS</com:city>
          <com:stateOrCountry>MN</com:stateOrCountry>
          <com:zipCode>55413</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>866-435-3948</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>REUVERS DANIEL L.</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
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      <securitiesInformation>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Merrill Lynch</name>
          <address>
            <com:street1>225 Liberty Street</com:street1>
            <com:street2>Floor 37</com:street2>
            <com:city>New York</com:city>
            <com:stateOrCountry>NY</com:stateOrCountry>
            <com:zipCode>10281</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>4689</noOfUnitsSold>
        <aggregateMarketValue>73148.40</aggregateMarketValue>
        <noOfUnitsOutstanding>23600584</noOfUnitsOutstanding>
        <approxSaleDate>02/27/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <acquiredDate>02/24/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Vesting of performance share unit award</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>TACTILE SYSTEMS TECHNOLOGY INC</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>4689</amountOfSecuritiesAcquired>
        <paymentDate>02/24/2024</paymentDate>
        <natureOfPayment>Granted as part of issuer equity compensation plan</natureOfPayment>
      </securitiesToBeSold>
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          <name>Daniel Reuvers</name>
          <address>
            <com:street1>1331 TYLER STREET NE STE 200</com:street1>
            <com:city>MINNEAPOLIS</com:city>
            <com:stateOrCountry>MN</com:stateOrCountry>
            <com:zipCode>55413</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <saleDate>02/23/2024</saleDate>
        <amountOfSecuritiesSold>5378</amountOfSecuritiesSold>
        <grossProceeds>79852.76</grossProceeds>
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        <sellerDetails>
          <name>Daniel Reuvers</name>
          <address>
            <com:street1>1331 TYLER STREET NE STE 200</com:street1>
            <com:city>MINNEAPOLIS</com:city>
            <com:stateOrCountry>MN</com:stateOrCountry>
            <com:zipCode>55413</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <saleDate>02/26/2024</saleDate>
        <amountOfSecuritiesSold>6239</amountOfSecuritiesSold>
        <grossProceeds>98644.98</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>02/27/2024</noticeDate>
        <signature>Daniel Reuvers</signature>
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text: 144
  0001563602
  XXXXXXXX
  LIVE
  0001027838
  TACTILE SYSTEMS TECHNOLOGY INC
  001-37799
  1331 TYLER STREET NE STE 200
  MINNEAPOLIS
  MN
  55413
  866-435-3948
  REUVERS DANIEL L.
  Officer
  Common Stock
  Merrill Lynch
  225 Liberty Street
  Floor 37
  New York
  NY
  10281
  4689
  73148.40
  23600584
  02/27/2024
  NASDAQ
  Common Stock
  02/24/2024
  Vesting of performance share unit award
  TACTILE SYSTEMS TECHNOLOGY INC
  N
  4689
  02/24/2024
  Granted as part of issuer equity compensation plan
  N
  Daniel Reuvers
  1331 TYLER STREET NE STE 200
  MINNEAPOLIS
  MN
  55413
  Common Stock
  02/23/2024
  5378
  79852.76
  Daniel Reuvers
  1331 TYLER STREET NE STE 200
  MINNEAPOLIS
  MN
  55413
  Common Stock
  02/26/2024
  6239
  98644.98
  02/27/2024
  Daniel Reuvers