Katie Tackett

NPI #1053966168 in Dayton, Ohio

Provider Information

NPI Number
1053966168
Entity Type
Individual
Name
Katie Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Addiction (Substance Use Disorder)
Enumeration Date
Aug 6, 2019
Last Updated
Aug 6, 2019

Practice Location

Address
1 ELIZABETH PL
City
Dayton
State
Ohio
ZIP Code
45417-3445
Phone
(937) 813-1737

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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