Individual
THOMAS BRADEN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, SLP
Contact information
Practice address
7820 WALKING HORSE CIR, GERMANTOWN, TN 38138-2143
(901) 752-2500
Mailing address
7820 WALKING HORSE CIR, GERMANTOWN, TN 38138-2143
(901) 752-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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