Individual
TASHA N TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1462 S BELMONT AVE, SPRINGFIELD, OH 45505-3958
(937) 471-2028
Mailing address
1462 S BELMONT AVE, SPRINGFIELD, OH 45505-3958
(937) 471-2028
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
401214550311
OH
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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