Individual provider · Type 1 NPI

Amanda Elaine Tackett, PTA

Physical Therapy Assistant · Thelma, KY

NPI number 1124251582 Active

Practice location

5659 Main Street
Thelma, KY 41260

Fax (606) 788-7076

Mailing address

5659 Main St
Thelma, KY 41260-8609

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA02313 (KY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1124251582

Amanda Elaine Tackett, PTA's National Provider Identifier is 1124251582, issued on Sep 1, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Thelma, KY. The record was last updated on Sep 1, 2009.