Mrs Lora Lee Tackett, OTR/L is a
Occupational Therapist based in Banner, Kentucky. Mrs Lora Lee Tackett is licensed to practice in Kentucky (license number R4672) and her current practice location is
367 South Rice Road, Banner, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 226-5649.
NPI number for Mrs Lora Lee Tackett is 1417242249 and her current mailing address is 4057 Mooncoin Way, Apt. 4303, Lexington, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417242249.
Healthcare Provider's Profile
Full Name | Mrs Lora Lee Tackett |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 367 South Rice Road, Banner, Kentucky |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417242249
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 09/16/2013
Medical Identifiers
Medical identifiers for Mrs Lora Lee Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417242249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | R4672 (Kentucky) | 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. Mrs Lora Lee 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 Address | Practice Location Address |
Mrs Lora Lee Tackett, OTR/L 4057 Mooncoin Way, Apt. 4303, Lexington, KY 40515 Ph: (606) 226-5649 | Mrs Lora Lee Tackett, OTR/L 367 South Rice Road, Banner, KY 41603-9998 Ph: (606) 226-5649 |
Reviews and Comments