| Tyler Tackett, DPT | |
|
543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 | |
| (502) 477-6410 | |
| Not Available |
| Full Name | Tyler Tackett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 543 Taylorsville Rd Ste 101, Taylorsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770956294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 006755 (Kentucky) | Primary |
| Provider Name | Kentucky Orthopedic Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093715054 PECOS PAC ID: 0345157293 Enrollment ID: O20090211000813 |
| Provider Name | Sn Kentuckiana Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609349018 PECOS PAC ID: 1254671464 Enrollment ID: O20190326002841 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Tackett, DPT 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 Ph: (502) 477-6410 | Tyler Tackett, DPT 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766 Ph: (502) 477-6410 |
Mr. Patrick Daniel Bray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4813 Taylorsville Rd., Taylorsville, KY 40071 Phone: 502-477-0300 Fax: 502-477-0303 | |
Brittany Leigh Steen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 543 Taylorsville Rd Ste 101, Taylorsville, KY 40071 Phone: 502-477-6410 | |
Danielle Reid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 239 Clinton Ct, Taylorsville, KY 40071 Phone: 502-457-4343 | |
Dr. Shawn Phillip Maskalick, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4813 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-0300 | |
Bg House Enterprises Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4813 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-0300 Fax: 502-477-0303 | |
Becky Gay House, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4813 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-0300 Fax: 502-477-0303 |