MRS. LORA TACKETT, OTR/L
Occupational Therapist
Active
Individual
NPI: 1417242249
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | R4672 (KY) |
Frequently Asked Questions
NPI 1417242249 is the National Provider Identifier for MRS. LORA TACKETT, OTR/L, a Occupational Therapist provider located in Banner, KY. This NPI was enumerated on June 9, 2011.
MRS. LORA TACKETT, OTR/L practices at 367 SOUTH RICE ROAD, Banner, KY 41603.
Quick Facts
- NPI
- 1417242249
- Type
- Individual
- Enumerated
- Jun 9, 2011
- Last Updated
- Sep 16, 2013