Individual
STEVEN WESLEY TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2531 OLD ROSEBUD RD, LEXINGTON, KY 40509
(502) 213-1872
Mailing address
303 N HURSTBOURNE PAKWAY, SUITE 200, LOUISVILLE, KY 40222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02547
KY
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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