WHITLEY TACKETT

Case Manager/Care Coordinator

Active Individual
NPI: 1740838531

Practice Address

196 E EMMITT AVE
Waverly, OH 45690

Phone: (740) 708-5134

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1740838531 is the National Provider Identifier for WHITLEY TACKETT, a Case Manager/Care Coordinator provider located in Waverly, OH. This NPI was enumerated on August 27, 2019.
WHITLEY TACKETT practices at 196 E EMMITT AVE, Waverly, OH 45690.

Quick Facts

NPI
1740838531
Type
Individual
Enumerated
Aug 27, 2019
Last Updated
Jun 29, 2023

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