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1770956294
TYLER TACKETT
TAYLORSVILLE, KY
NPI
1770956294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 006755)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- TYLER TACKETT DPT
543 TAYLORSVILLE RD STE 101
TAYLORSVILLE, KY 40071-6766
Phone number: 502-477-6410
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Mailing Address
-- TYLER TACKETT DPT
543 TAYLORSVILLE RD STE 101
TAYLORSVILLE, KY 40071-6766
Phone number: 502-477-6410
Copy
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