Individual
HALLE DERRICK TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2075 MAX LUTHER DR NW, HUNTSVILLE, AL 35810-3859
(256) 852-6722
(256) 852-6722
Mailing address
2075 MAX LUTHER DR NW, HUNTSVILLE, AL 35810-3859
(256) 852-6722
(256) 852-6722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6727
AL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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