Provider Demographics
NPI:1386779650
Name:TAGHER, MARIE (LAC, CAC, LMT)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:TAGHER
Suffix:
Gender:F
Credentials:LAC, CAC, LMT
Other - Prefix:
Other - First Name:MIMI
Other - Middle Name:
Other - Last Name:TAGHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, CAC, LMT
Mailing Address - Street 1:7309 US HIGHWAY 42 STE 1
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1966
Mailing Address - Country:US
Mailing Address - Phone:859-525-5000
Mailing Address - Fax:
Practice Address - Street 1:7413 US HIGHWAY 42
Practice Address - Street 2:SUITE 3
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1999
Practice Address - Country:US
Practice Address - Phone:859-525-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY AC 018171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH65.000047OtherOHIO ACUPUNCTURE LICENSE
KYKY 1151OtherKY MASSAGE LICENSE
KYAC 018OtherKY ACUPUNCTURE LICENSE
KYAC 018OtherKY ACUPUNCTURE LICENSE