DR. LISA A TACK D.C. NPI 1619978129

NPI Information

  • NPI: 1619978129
  • Provider Name: DR. LISA A TACK, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 5131 US HIGHWAY 62
    CALVERT CITY, KY
    ZIP 42029
  • Phone: (270) 395-4540

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NPI Details

DR. Lisa A Tack, D.C. is a chiropractor in Calvert City, KY with 31 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Lisa A Tack, D.C. NPI is 1619978129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:1995

The provider's business location address is:

5131 US HIGHWAY 62
CALVERT CITY, KY
ZIP 42029-390
Phone: (270) 395-4540
Fax: (270) 395-7715

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4311KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U61265MEDICARE UPINKENTUCKY
285001477MEDICAIDKENTUCKY
30673102MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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