Misti Tackett

NPI #1912576612 in Grayson, Kentucky

Provider Information

NPI Number: 1912576612
Entity Type: Individual
Name: Misti Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 41 CRIBBS HL
City: Grayson
State: Kentucky
ZIP Code: 41143-7916
Phone: (606) 475-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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