TYLER TACKETT

KENTUCKY ORTHOPEDIC REHABILITATION LLC

Dr TYLER TACKETT is a male medical professional, specializing in Physical Therapy. He graduated in 2012.

Contact

KENTUCKY ORTHOPEDIC REHABILITATION LLC

543 TAYLORSVILLE RD
SUITE 101
TAYLORSVILLE
KY
400716766

Tel: 5024776410

TYLER TACKETT Information

Npi 1770956294
Pac Id 9739482704
Professional Enrollment Id I20160125002834
Last Name TACKETT
First Name TYLER
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KENTUCKY ORTHOPEDIC REHABILITATION LLC
Group Practice Pac Id 0345157293
Number Of Group Practice Members 18
Line 1 Street Address 543 TAYLORSVILLE RD
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City TAYLORSVILLE
State KY
Zip Code 400716766
Phone Number 5024776410
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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