Individual ProviderRyan TackettCounselorBehavioral Health & Social Service ProvidersPractice Address929 N 130th St, Seattle, WA 98133-7500(253) 833-7444PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Tackett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 12 days ago.Profile DetailsProvider ID1003647405Provider TypeIndividualFull NameTackett, RyanGenderMaleSole ProprietorNoEnumeration Date8/8/2024Last Updated8/8/2024Contact InformationPractice LocationPractice Address929 N 130th St, Seattle, WA 98133-7500Phone(253) 833-7444FaxUnlisted FaxMailing LocationMailing Address325 W Gowe St, Kent, WA 98032-5892Phone(253) 833-7444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer