MR. RANDY HAROLD TACKETT
NPI 1639209877
Contractor - Home Modifications in Wabash, IN
- Individual
- Male
- Contractor
- Home Modifications
About RANDY TACKETT
This page provides the complete NPI Profile along with additional information for Randy Tackett, a provider established in Wabash, Indiana with a medical specialization in Contractor, focusing in home modifications . The healthcare provider is registered in the NPI registry with number 1639209877 assigned on March 2007. The practitioner's primary taxonomy code is 171WH0202X. The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1639209877 Verify this NPI
- Provider Name
- MR. RANDY HAROLD TACKETT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1821 N 150 W WABASH, IN 46992
- Location Phone
- (260) 563-0142
- Location Fax
- (260) 563-6565
- Mailing Address
- 1821 N 150 W WABASH, IN 46992
- Mailing Phone
- (260) 563-0142
- Mailing Fax
- (260) 563-6565
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-06-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Contractor Home Modifications
- Taxonomy Code
- 171WH0202X
- Type
- Other Service Providers
- Taxonomy Description
- A contractor who makes modifications to homes to accommodate a health condition.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639209877, enumerated as an "individual" on March 06, 2007.
The provider is located at 1821 N 150 W WABASH, IN 46992 and the phone number is (260) 563-0142.
Contractor with taxonomy code 171WH0202X and a focus in Home Modifications.
