BRADLEY TACK

BRADLEY A TACK PSC

Dr BRADLEY TACK is a male medical professional, specializing in Chiropractic. He graduated in 1995 from Logan College Of Chiropractic.

Contact

BRADLEY A TACK PSC

5131 US HWY 62
CALVERT CITY
KY
420298390

Tel: 2703954540

BRADLEY TACK Information

Npi 1386645737
Pac Id 0042455032
Professional Enrollment Id I20130321000639
Last Name TACK
First Name BRADLEY
Middle Name
Suffix
Gender M
Credential
Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 1995
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BRADLEY A TACK PSC
Group Practice Pac Id 7113952409
Number Of Group Practice Members 2
Line 1 Street Address 5131 US HWY 62
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CALVERT CITY
State KY
Zip Code 420298390
Phone Number 2703954540
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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