Stephanie Lyn Tackett, PTA
NPI #1013791276 in Shenandoah, Texas
Provider Information
- NPI Number
- 1013791276
- Entity Type
- Individual
- Name
- Stephanie Lyn Tackett, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 9250 PINECROFT DR
- City
- Shenandoah
- State
- Texas
- ZIP Code
- 77380-3218
- Phone
- (713) 303-0252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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