Individual
COURTNEY TYLER TACOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
42068 MANSFIELD PARK CT, CHANTILLY, VA 20152-6424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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