Individual
KARA KIMIKO TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8580933-2401
UT
2251N0400X
Neurology Physical Therapist
8580933-2401
UT
Other
Enumeration date
06/12/2013
Last updated
01/04/2023
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