Individual provider · Type 1 NPI
Lisa A. Tack, DC
Chiropractor · Calvert City, KY
NPI number
1619978129
Active
Practice location
5131 US Highway 62
Calvert City, KY 42029-8390
Fax (270) 395-7715
Mailing address
330 Oak Shadow Ln
Benton, KY 42025-5494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4311 (KY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
Other chiropractor providers in Calvert City
About NPI 1619978129
Lisa A. Tack, DC's National Provider Identifier is 1619978129, issued on Aug 9, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Calvert City, KY. The record was last updated on Jul 13, 2026.