Tackett, Jennifer Jo

Tackett, Jennifer Jo is an individual health care provider with primary practice located at 1669 W Maple Rd , Birmingham MI 48009-1230. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Tackett, Jennifer Jo can be contacted via phone (248) 646-3347.

Contact Information

Primary practice address
1669 W Maple Rd Birmingham MI 48009-1230
Phone: (248) 646-3347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1720395452
LBN Legal business name Tackett, Jennifer Jo
Credentials ART THERAPIST ATR
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2010
Last updated Jul 23rd, 2014 - about 11 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.

Request for update

Popular Providers