Individual
CHRISTOPHER THOMAS TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8918 35TH ST W, UNIVERSITY PLACE, WA 98466-2108
(253) 592-9723
Mailing address
8918 35TH ST W, UNIVERSITY PLACE, WA 98466-2108
(253) 592-9723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
UT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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