Search › Kentucky › 174400000X
Ellis Tackett, ATC LAT
NPI 1821489576 · on the registry since 2015
Practice
- Address
- 147 Sycamore St
Pikeville, KY 41501 - Phone
- (606) 213-1620
- Fax
- (606) 218-5353
- Organisation at this address
- University Of Pikeville
University Of PikevilleInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-16
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 Kentucky