Katie Tackett
Katie Tackett is a Peer Specialist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2019.
- Licensed in
- OH
- In the registry since
- 2019
Practice location Address checks out
526 Xenia AveDayton, OH 45410-1824
Phone: (937) 949-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence FPS.00417 (OH) |
|---|
Record details
| NPI number | 1053966168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2019 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 18, 2026 |
| Mailing address | 3400 Idylwilde Blvd, Dayton, OH 45414-5514 |
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