STEVEN WESLEY TACKETT

LEXINGTON, KY
NPI1376883470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02547)
Enumeration Date2013-02-26
Last Update Date2013-02-26
Business Address
-- STEVEN WESLEY TACKETT
2531 OLD ROSEBUD RD
LEXINGTON, KY 40509
Phone number: 502-213-1872
Mailing Address
-- STEVEN WESLEY TACKETT
303 N HURSTBOURNE PAKWAY SUITE 200
LOUISVILLE, KY 40222
Phone number:
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