Mr. Ellis Ray Tackett III, ATC LAT - Pikeville, KY

Mr. Ellis Ray Tackett III, ATCLAT

Specialist in Pikeville, Kentucky

NPI 1821489576

Ellis Ray Tackett III is a Specialist based in Pikeville, KY. Ellis Ray Tackett III practices in Pikeville, KY and has the professional credentials of ATCLAT. The NPI Number for Ellis Ray Tackett III is 1821489576 and holds a License No. AT1092 (Kentucky).

The current practice location address for Ellis Ray Tackett III is 147 Sycamore St, Pikeville, KY and can be reached out via phone at 606-213-1620 and via fax at 606-218-5353.

Location: 147 Sycamore St, Pikeville, KY, 41501-3804

NPI Number

1821489576

Provider Name

Ellis Ray Tackett III

Credential

ATCLAT

Provider Entity Type

Individual

Gender

Male

Address

147 Sycamore St, Pikeville, KY, 41501-3804

Phone Number

606-213-1620

Fax Number

606-218-5353

Provider Enumeration Date

02/16/2015

Last Update Date

03/09/2024

Address

147 Sycamore St

City

Pikeville

State

Kentucky

Zip

41501-9118

Phone Number

606-213-1620

Fax Number

606-218-5353

Address

147 Sycamore St

City

Pikeville

State

Kentucky

Zip

41501-9118

Phone Number

606-213-1620

Fax Number

606-218-5353

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

AT1092 (Kentucky)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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