Individual
CASIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 KIANA CT APT A, PADUCAH, KY 42001-6767
(270) 443-0681
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7165
TN
Other
Enumeration date
06/06/2006
Last updated
11/11/2022
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