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1275294514
MEGAN JADE TACKETT
CORBIN, KY
NPI
1275294514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 273399)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
MEGAN JADE TACKETT OTR/L
116 S COMMONWEALTH AVE
CORBIN, KY 40701-6408
Phone number: 606-258-2500
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Mailing Address
MEGAN JADE TACKETT OTR/L
12710 TOWNEPARK WAY STE 1000
LOUISVILLE, KY 40243-1596
Phone number: 502-254-4200
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