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1912545872
SHELLY A TACKETT
OWENSBORO, KY
NPI
1912545872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 131137)
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
SHELLY A TACKETT OT
1605 SCHERM RD STE 1
OWENSBORO, KY 42301-5300
Phone number: 270-685-9499
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Mailing Address
SHELLY A TACKETT OT
1605 SCHERM RD STE 1
OWENSBORO, KY 42301-5300
Phone number: 270-685-9499
Copy
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