Individual
AMY ELAINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
661 W NICKERSON ST, #3, SEATTLE, WA 98119-1540
(661) 331-0470
Mailing address
1900 W NICKERSON ST, SUITE 116-31, SEATTLE, WA 98119-1661
(661) 331-0470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60635494
WA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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