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1780082776
KRISTY TACKETT
HUNTINGTON, WV
NPI
1780082776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 1756)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
Ms. KRISTY TACKETT OTR
3135 16TH STREET RD SUITE 21
HUNTINGTON, WV 25701-5247
Phone number: 304-523-1164
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Mailing Address
Ms. KRISTY TACKETT OTR
169 RAVENWOOD RD
HAROLD, KY 41635-9121
Phone number: 606-434-4594
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