LAURIE JOHNSON TACKETT

LOUISVILLE, KY
NPI1619063443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  278889)
Enumeration Date2006-10-05
Last Update Date2024-03-12
Business Address
LAURIE JOHNSON TACKETT MHS, OTR/L
11840 COMMONWEALTH DR
LOUISVILLE, KY 40299-2309
Phone number: 502-633-1007
Mailing Address
LAURIE JOHNSON TACKETT MHS, OTR/L
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: