DAVID MICHAEL TACKETT

LOUISA, KY
NPI1033074257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-12-19
Last Update Date2025-12-19
Business Address
DAVID MICHAEL TACKETT
125 S MAIN CROSS ST
LOUISA, KY 41230-1330
Phone number: 606-638-0938
Mailing Address
DAVID MICHAEL TACKETT
PO BOX 726
LOUISA, KY 41230-0726
Phone number: 606-638-0938
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