Tackett, Dena Rae
Tackett, Dena Rae is an individual health care provider with primary practice located at 80 Professional Ct , Lafayette IN 47905-5152. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tackett, Dena Rae can be contacted via phone (765) 448-1758.Contact Information
Primary practice address
80 Professional Ct
Lafayette IN 47905-5152
Phone: (765) 448-1758
Fax: (765) 448-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31003880A | Indiana |
Profile Details
| NPI number | 1245429224 |
|---|---|
| LBN Legal business name | Tackett, Dena Rae |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Apr 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245429224 | NPPES |
| Indiana | MEDICAID | 200468810 |
Popular Providers
-
Davisson, Antoinette
2601 Ferry St , Lafayette IN 47904-3061 -
Pilotte, Regina R
3864 East 500 South , Lafayette IN 47909 -
Jones, Heather
80 Professional Ct , Lafayette IN 47905-5152 -
Harash-Kantor, Nurit S
2445 E State St , Lafayette IN 47905-2216 -
Wimmer, Katie M.
80 Professional Ct , Lafayette IN 47905-5152 -
Kasyan, Kathleen Anne
803 Highland Ave Apartment #3, Lafayette IN 47905-6406 -
Lokke, Stacy Lynn
3746 Rome Dr , Lafayette IN 47905-4489 -
Barba, Brida Ann
300 Windy Hill Dr , Lafayette IN 47905-2862