Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tackett Physical Therapy PLLC

Organization Physical Therapist · NPI 1003674409

Tackett Physical Therapy PLLC is a Physical Therapist in LA Grange, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 W Madison St
LA Grange, KY 40031-1428
Phone: (606) 207-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1003674409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trent Tackett — Owner/Physical Therapist · (606) 207-5248
Other names Reactivate Physical Therapy
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 10, 2024
Mailing address102 W Madison St, La Grange, KY 40031-1428

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