Tyler Tackett, DPT

NPI #1770956294 in Taylorsville, Kentucky

Provider Information

NPI Number
1770956294
Entity Type
Individual
Name
Tyler Tackett, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 5, 2015
Last Updated
Nov 5, 2015

Practice Location

Address
543 TAYLORSVILLE RD STE 101
ZIP Code
40071-6766
Phone
(502) 477-6410

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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Provider Name
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