Tackett, Crystal Dawn

Tackett, Crystal Dawn is an sole proprietor health care provider with primary practice located at 300 Overlook Dr , Piketon OH 45661-9760. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Tackett, Crystal Dawn can be contacted via phone (740) 289-4074.

Contact Information

Primary practice address
300 Overlook Dr Piketon OH 45661-9760
Phone: (740) 289-4074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA06411 Ohio

Profile Details

NPI number 1891034344
LBN Legal business name Tackett, Crystal Dawn
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Feb 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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