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TRENT TACKETT

PHYSICAL THERAPIST IN PRIVATE PRACTICE · LA GRANGE, KY

Provider

NPI
1689288219
Credential
Primary specialty
PHYSICAL THERAPIST IN PRIVATE PRACTICE
Gender
Male
Medical school
OTHER
Graduation year
2020

Practice

Address
102 W MADISON ST, LA GRANGE, KY 400311428
Phone
6062075248
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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