Tackett, Megan Jade

Tackett, Megan Jade is an sole proprietor health care provider with primary practice located at 116 S Commonwealth Ave , Corbin KY 40701-6408. 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, Megan Jade can be contacted via phone (606) 258-2500.

Contact Information

Primary practice address
116 S Commonwealth Ave Corbin KY 40701-6408
Phone: (606) 258-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 273399 Kentucky

Profile Details

NPI number 1275294514
LBN Legal business name Tackett, Megan Jade
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2022
Last updated Jan 8th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275294514 NPPES
Kentucky MEDICAID 185232

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