Individual
TRENT MORGAN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1227 GOSS AVE, LOUISVILLE, KY 40217-1239
(502) 636-1200
Mailing address
3010 KENT RD, LOUISVILLE, KY 40205-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008140
KY
Other
Enumeration date
09/01/2020
Last updated
12/05/2024
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