AMANDA ELAINE TACKETT

THELMA, KY
NPI1124251582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02313)
Enumeration Date2009-09-01
Last Update Date2009-09-01
Business Address
Miss AMANDA ELAINE TACKETT PTA
5659 MAIN STREET
THELMA, KY 41260
Phone number: 606-788-6600
Mailing Address
Miss AMANDA ELAINE TACKETT PTA
5659 MAIN ST
THELMA, KY 41260-8609
Phone number: 606-788-6600
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