Individual
KRYSTEN D TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
204 S SLEDGE ST, KYLE, TX 78640-9404
(512) 709-6963
Mailing address
204 S SLEDGE ST, KYLE, TX 78640-9404
(512) 709-6963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132978
TX
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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