MRS. Crystal Dawn Tackett, LPTA

NPI #1891034344 in Piketon, Ohio

Provider Information

NPI Number
1891034344
Entity Type
Individual
Name
MRS. Crystal Dawn Tackett, LPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
Feb 4, 2013
Last Updated
Feb 4, 2013

Practice Location

Address
300 OVERLOOK DR
State
Ohio
ZIP Code
45661-9760
Phone
(740) 289-4074

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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