KRISTY TACKETT

HUNTINGTON, WV
NPI1780082776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1756)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
Ms. KRISTY TACKETT OTR
3135 16TH STREET RD SUITE 21
HUNTINGTON, WV 25701-5247
Phone number: 304-523-1164
Mailing Address
Ms. KRISTY TACKETT OTR
169 RAVENWOOD RD
HAROLD, KY 41635-9121
Phone number: 606-434-4594