MISS Amanda Elaine Tackett, PTA

NPI #1124251582 in Thelma, Kentucky

Provider Information

NPI Number: 1124251582
Entity Type: Individual
Name: MISS Amanda Elaine Tackett, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 1, 2009
Last Updated: Sep 1, 2009

Practice Location

Address: 5659 MAIN STREET
City: Thelma
State: Kentucky
ZIP Code: 41260
Phone: (606) 788-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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Steven D Thomas, PTA	Physical Therapy Assistant	Vanceburg	AI Deep Dive

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