Individual
AMY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 LINDBERGH DR, JACKSON, MS 39209-3855
(601) 353-9934
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5041
MS
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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