Martha Ann Tackett
Martha Ann Tackett is a Personal Care Attendant in Madison, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1 Avenue C Bldg SUITE109Madison, WV 25130-1100
Phone: (304) 369-6400
Fax: (304) 369-0046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1902520562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2022 |
| Last updated in NPPES | September 28, 2022 |
| Certification date | September 28, 2022 |
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Elizabeth Stringer
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Crystal Sutphin
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Grace L Tackett
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1 Avenue C, Madison, WV 25130-1100 · (304) 369-6400
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1 Avenue C Bldg SUITE109, Madison, WV 25130-1100 · (304) 369-6400