Individual
DR. MATTHEW BRIAN TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6800 US HIGHWAY 23 S, SUITE 3, PIKEVILLE, KY 41501-3701
(606) 639-0722
(606) 639-0723
Mailing address
6800 US HIGHWAY 23 S, SUITE 3, PIKEVILLE, KY 41501-3701
(606) 639-0722
(606) 639-0723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003655
—
KY
Enumeration date
01/03/2007
Last updated
07/08/2007
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