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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS AMANDA ELAINE TACKETT, PTA

Active

MISS AMANDA ELAINE TACKETT, PTA is a Occupational Therapist healthcare provider located in THELMA, Kentucky. NPI 1124251582 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · THELMA, KY

Registration Details

NPI Number
1124251582
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2009 (16.770197476013 yrs)
Last Updated
Sep 1, 2009
License
A02313 (KY)

Practice Information

Address
5659 MAIN STREET
THELMA, KY, 41260
Browse KY providers · Browse ZIP 41260
Phone
6067886600
Fax
6067887076
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in THELMA, KY

Name Credential NPI
MRS. MONA KAYE DANIEL PTA 1750514212
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.