Individual
SARAH TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1620 E BULLDOG LN, MS OF87, FRESNO, CA 93740-0001
(559) 278-4170
(559) 278-8355
Mailing address
3715 W BARSTOW AVE, 238, FRESNO, CA 93711-6664
(918) 231-0511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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