Individual provider · Type 1 NPI
Randy Harold Tackett
Home Modifications Contractor · Wabash, IN
NPI number
1639209877
Active
Practice location
1821 N 150 W
Wabash, IN 46992-8728
Fax (260) 563-6565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1639209877
Randy Harold Tackett's National Provider Identifier is 1639209877, issued on Mar 6, 2007. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Wabash, IN. The record was last updated on Jul 8, 2007.