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Amy Tackett, MS, RDN, LD

Dietitian, Registered in Dublin, OH. Individual provider (NPI-1).

NPI number1861963233
StatusActive
Last updated in NPPESDec 27, 2023

Details

NPI
1861963233
Entity type
Individual (NPI-1)
Name
Amy Tackett
Credential
MS, RDN, LD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2018
Certification date
Dec 27, 2023
Last updated
Dec 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

4229 Times Square Blvd
Dublin, OH 43016-7103

Phone 937-247-4136

Mailing address

6156 Rockville Dr
Colorado Springs, CO 80923-3806

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