Jeremy Shane Tackett PTA

  • NPI 1043412364
According to our database, the NPI number for Jeremy Shane Tackett PTA is 1043412364 and activated since 16 years ago. Jeremy Shane Tackett PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 1013 W Park Ave, Checotah, OK 74426. You can also contact Jeremy Shane Tackett PTA via telephone number is (918) 473-1748. Provider NPI information was last updated on 07/08/2007.

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Overview of Jeremy Shane Tackett PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/31/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 1335
  • License State: OK

Provider Mailing Address

  • Address: 1013 W Park Ave
    Checotah, OK 74426
  • Phone: 918-473-1748
  • Fax: 918-473-1748

Provider Practice Location

  • Address: 1013 W Park Ave
    Checotah, OK 74426
  • Phone: 918-473-1748
  • Fax: 918-473-1748

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 1335
  • License State: OK
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeremy Shane Tackett PTA?
  • A: The npi number for Jeremy Shane Tackett PTA is 1043412364.
  • Q: What are Jeremy Shane Tackett PTA's specialties?
  • A: Jeremy Shane Tackett PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Jeremy Shane Tackett PTA?
  • A: The medical license number for Jeremy Shane Tackett PTA is 1335 and issued in OK in USA.
  • Q: Where is Jeremy Shane Tackett PTA practice location?
  • A: Jeremy Shane Tackett PTA is practicing at 1013 W Park Ave, Checotah, OK 74426.
  • Q: How to contact Jeremy Shane Tackett PTA?
  • A: You can contact Jeremy Shane Tackett PTA via 918-473-1748.