Individual
KAITLIN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DPT
Contact information
Practice address
107 CALUMET CENTER RD, LAGRANGE, GA 30241-6705
(706) 882-2940
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017918
GA
Other
Enumeration date
04/29/2025
Last updated
08/18/2025
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