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IndividualActive

Jeremy Shane Tackett

PTA

Physical Therapy Assistant

NPI: 1043412364Checotah, Oklahoma, 74426(918) 473-1748Male

About Jeremy Shane Tackett

Jeremy Shane Tackett, PTA, is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1043412364. Their primary practice is located at 1013 W PARK AVE, Checotah, Oklahoma 74426.

Patients can reach the office at (918) 473-1748. Jeremy Shane Tackett has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1043412364
Entity Type
Individual
First Name
Jeremy
Last Name
Tackett
Credential
PTA
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
1013 W PARK AVE
City
Checotah
State
Oklahoma
ZIP
74426-1250
Country
United States
Phone
(918) 473-1748
Fax
(918) 473-1748

Specialty & Taxonomy

Primary Specialty
Physical Therapy Assistant
Classification
Physical Therapy Assistant
Taxonomy Code
225200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1013 W PARK AVE
City
CHECOTAH
State
OK
ZIP
744261250

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jeremy Shane Tackett's NPI number?
Jeremy Shane Tackett's National Provider Identifier (NPI) is 1043412364. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jeremy Shane Tackett specialize in?
Jeremy Shane Tackett specializes in Physical Therapy Assistant.
Where is Jeremy Shane Tackett located?
Jeremy Shane Tackett practices at 1013 W PARK AVE, Checotah, Oklahoma 74426. You can reach them by phone at (918) 473-1748.
Does Jeremy Shane Tackett accept Medicare?
Based on available data, Jeremy Shane Tackett is not currently enrolled in the Medicare program.
Does Jeremy Shane Tackett offer telehealth or virtual visits?
Jeremy Shane Tackett does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jeremy Shane Tackett is 1043412364.