Individual
BENJAMIN STEVEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
707 S PARK ST, DEER PARK, WA 99006-7025
(509) 276-8811
Mailing address
2424 INDIAN RIDGE RD, CHEWELAH, WA 99109-9501
(509) 831-8356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60569409
WA
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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