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MR. ELLIS RAY TACKETT III ATC LAT
NPI 1821489576
Specialist in Pikeville, KY

Active since February 16, 2015
147 SYCAMORE ST, PIKEVILLE, KY 41501(606) 213-1620(606) 218-5353 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ellis Ray Tackett Iii Atc Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELLIS RAY TACKETT III ATC LAT (NPI 1821489576) is an individual specialist in Pikeville, Kentucky, licensed in Kentucky (AT1092) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1821489576
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. ELLIS RAY TACKETT IIICredential: ATC LAT
Location Address147 SYCAMORE STPikeville, KY 41501-9118
Mailing Address680 Hambley Blvd Apt 407Pikeville, KY 41501-3804 · (606) 213-1620 · Fax (606) 218-5353
Phone(606) 213-1620
Fax(606) 218-5353
Sole ProprietorNo
Enumeration DateFebruary 16, 2015
✔ NPI 1821489576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KY · AT1092
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
147 SYCAMORE ST, Pikeville, KY 41501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EILENE EUGENIO KINZER O.D.
Optometrist
147 SYCAMORE ST, KENTUCKY COLLEGE OF OPTOMETRY
PIKEVILLE, KY 41501
Pike County (606) 218-5514
DR. GENESIA LYNN KILGORE-BOWLING PHD, MSW, CSW
Social Worker
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5011
AVONNA SHEPPARD
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5250
DR. DEESHA KAM PATEL
Student in an Organized Health Care Education/Training Program
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5250
MISS BREANNA LYNN CLEMMER
Social Worker (Clinical)
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 552-1365
DR. JAMES ROGALA OD
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5515
MICHAEL KENNETH MURPHY DO
Family Medicine
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5152
DR. MOHAMMED S NAJA OD
Optometrist
147 SYCAMORE ST
PIKEVILLE, KY 41501
Pike County (606) 218-5364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Tackett's NPI number?

The NPI number for Ellis Tackett is 1821489576. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Ellis Tackett located?

Ellis Tackett practices at 147 Sycamore St, Pikeville, KY 41501. The listed phone number is (606) 213-1620.

What is Ellis Tackett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ellis Tackett was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.