Tackett, Laken
Tackett, Laken is an individual health care provider with primary practice located at 181 Old Whitley Rd , London KY 40744-8211. 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, Laken can be contacted via phone (606) 330-0223.Contact Information
Primary practice address
181 Old Whitley Rd
London KY 40744-8211
Phone: (606) 330-0223
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 260339 | Kentucky |
Profile Details
NPI number | 1740821701 |
---|---|
LBN Legal business name | Tackett, Laken |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 1st, 2019 |
Last updated | Apr 20th, 2021 - about 4 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 | 1740821701 | NPPES |
Kentucky | MEDICAID | 7100631070 |
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