Individual
KATELYN TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
2111 EMMONS RD, JACKSON, MI 49201-8395
(517) 796-8447
Mailing address
12450 MCCREERY RD, STOCKBRIDGE, MI 49285-9400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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