Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LORA LEE TACKETT, OTR/L
Active Sole ProprietorMRS. LORA LEE TACKETT, OTR/L is a Occupational Therapist healthcare provider located in BANNER, Kentucky. NPI 1417242249 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BANNER, KY
Registration Details
- NPI Number
- 1417242249
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2011 (15.200893674833 yrs)
- Last Updated
- Sep 16, 2013
- License
-
R4672 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
367 SOUTH RICE ROADBANNER, KY, 416039998Browse KY providers · Browse ZIP 41603
- Phone
- 6062265649
- Primary Specialty
-
Occupational Therapist
225X00000X
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.