Most Relevant Information
Provider Data
| NPI Number: | 1003364357 |
| Provider Name: | ASHLEY TACKETT |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2016 |
| Last Updated: | 03/10/2021 |
Provider Practice Location
210 N COOPER AVE
CINCINNATI
OH
452153011
Practice Location Phone/Fax
| Phone: | 5135635000 |
| Fax: |
Provider Mailing Location
210 N COOPER AVE
CINCINNATI
OH
452153011
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |