Individual
MARY A TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7540 DANNAHER WAY, SUITE 200, POWELL, TN 37849-4013
(865) 947-4034
Mailing address
7540 DANNAHER WAY, SUITE 200, POWELL, TN 37849-4013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004711
TN
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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