Individual
SKYLAR TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 100, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
Mailing address
889 N 1375 W, LINTON, IN 47441-6513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05016161A
IN
225100000X
Physical Therapist
Primary
CP048746T
SC
Other
Enumeration date
07/21/2025
Last updated
08/26/2025
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