Mr Larry Tackett, - Massage Therapist in Mill Valley, CA

Mr Larry Tackett, is a Massage Therapist based in Mill Valley, California. Mr Larry Tackett is licensed to practice in * (Not Available) (license number ) and his current practice location is 316 Miller Ave Ste F, Mill Valley, California. He can be reached at his office (for appointments etc.) via phone at (415) 419-1684.

NPI number for Mr Larry Tackett is 1053886291 and his current mailing address is 316 Miller Ave Ste F, Mill Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053886291.

Contact Information

Mr Larry Tackett,
316 Miller Ave Ste F,
Mill Valley, CA 94941-2887
(415) 419-1684
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Larry Tackett
GenderMale
SpecialityMassage Therapist
Location316 Miller Ave Ste F, Mill Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053886291
  • Provider Enumeration Date: 10/03/2018
  • Last Update Date: 10/03/2018

Medical Identifiers

Medical identifiers for Mr Larry Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053886291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry Tackett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Larry Tackett,
316 Miller Ave Ste F,
Mill Valley, CA 94941-2887

Ph: (415) 419-1684
Mr Larry Tackett,
316 Miller Ave Ste F,
Mill Valley, CA 94941-2887

Ph: (415) 419-1684

Reviews and Comments


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