Individual provider · Type 1 NPI

Raelyn Tackett

Occupational Therapist · Southaven, MS

NPI number 1568317618 Active

Practice location

83 Airways Pl
Southaven, MS 38671-5885

Call (662) 349-8787 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8471 (TN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1568317618

Raelyn Tackett's National Provider Identifier is 1568317618, issued on Mar 3, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Southaven, MS. The record was last updated on Mar 3, 2026.