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Jody Tackley

NPI 1235661141 · on the registry since 2017

Practice

Address
211 Main St
Owego, NY 13827
Phone
(607) 948-4047
Clinicians at this address
4

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York