ELLIS TACKETT, ATC LAT
Specialist · PIKEVILLE, KY
Individual Active NPI 1821489576
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | AT1092 | KY |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.