Individual
MICHAEL TUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-0918
Mailing address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0567
MO
Other
Enumeration date
06/30/2006
Last updated
07/09/2007
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