Individual
KAITLIN E TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1514 REYNOLDS RD, MAUMEE, OH 43537-1692
(419) 870-4243
Mailing address
2245 GLENWOOD AVE APT 1, TOLEDO, OH 43620-1063
(419) 677-6315
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020685
OH
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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