Individual
BRADY TUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
P.T.
Contact information
Practice address
10165 E HAMPTON AVE STE 111, MESA, AZ 85209-3327
(480) 354-5424
Mailing address
10165 E HAMPTON AVE STE 111, MESA, AZ 85209-3327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP051811T
AZ
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
01/22/2026
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