Individual provider · Type 1 NPI

Laurie Johnson Tackett, MHS, OTR/L

Occupational Therapist · Louisville, KY

NPI number 1619063443 Active

Practice location

11840 Commonwealth Dr
Louisville, KY 40299-2309

Call (502) 633-1007 Map

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X278889 (KY)

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 1619063443

Laurie Johnson Tackett, MHS, OTR/L's National Provider Identifier is 1619063443, issued on Oct 5, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Louisville, KY. The record was last updated on Mar 12, 2024.