Organization
SPORTS THERAPY AND REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN M TUCKER P.T. (OWNER/P.T.)
(775) 885-7827
Entity
Organization
Contact information
Practice address
303 FLEISCHMANN WY, CARSON CITY, NV 89703
(775) 885-7827
(775) 885-2301
Mailing address
303 FLEISCHMANN WY, CARSON CITY, NV 89703
(775) 885-7827
(775) 885-2301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0326
NV
225100000X
Physical Therapist
Primary
0445
NV
225100000X
Physical Therapist
1249
NV
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003416133
—
NV
05
—
100505561
—
NV
Enumeration date
09/22/2006
Last updated
06/08/2020
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