Mr. Matthew Tackett
Mr. Matthew Tackett is a Case Manager/Care Coordinator in Stillwater, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
121 S Duck StStillwater, OK 74074-3292
Phone: (617) 906-2617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1124650593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 4, 2020 |
| Last updated in NPPES | February 4, 2020 |
| Certification date | February 4, 2020 |
| Mailing address | 2017 Karr Ct, Stillwater, OK 74075-8235 |
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