Individual
KENDRA MAE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 AVENUE A, STE. C, SNOHOMISH, WA 98290-2961
(360) 563-0629
Mailing address
514 CLOVER LN, MUKILTEO, WA 98275-2413
(425) 422-1867
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60109855
WA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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