Jeremy Shane Tackett in Checotah - Physical Therapy Assistant
Jeremy Shane Tackett - NPI 1043412364
Jeremy Shane Tackett is a Physical Therapy Assistant in Checotah, Oklahoma. Jeremy Shane Tackett practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jeremy Shane Tackett is 1043412364. The last update date is 2007-07-08.
Jeremy Shane Tackett's current location address is 1013 W Park Ave, Checotah, Oklahoma. You can contact this provider via phone number 9184731748 and fax number 9184731748. The mailing address for Jeremy Shane Tackett is 1013 W Park Ave, Checotah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Shane Tackett |
---|---|
Address | 1013 W Park Ave, Checotah, Oklahoma |
Phone Number | 9184731748 |
Fax Number | 9184731748 |
Sole Proprietor | Y |
Credentials | PTA |
NPI Number Detail
NPI Number | 1043412364 |
---|---|
Provider Enumeration Date | 2007-05-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1013 W Park Ave |
---|---|
City | Checotah |
State | Oklahoma (OK) |
Post Code | 744261250 |
Phone Number | 9184731748 |
Fax Number | 9184731748 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapy Assistant |
---|---|
Taxonomy | 225200000X |
Licence No | 1335 |
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeremy Shane Tackett by the Centers for Medicare & Medicaid Services?
The Jeremy Shane Tackett has been assigned the NPI (National Provider Identifier) 1043412364 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeremy Shane Tackett is physically located?
The Jeremy Shane Tackett is physically situated at the following address: 1013 W Park Ave, Checotah, OK, 744261250.
What is Jeremy Shane Tackett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Shane Tackett's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date was the 1043412364 assigned to Jeremy Shane Tackett?
The Jeremy Shane Tackett was issued its 1043412364 on 2007-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jeremy Shane Tackett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeremy Shane Tackett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.