Individual
BENJAMIN STUCKEY
Active
Individual
BENJAMIN STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, COTA, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16245-24
WI
225100000X
Physical Therapist
Primary
CP030726T
VA
225100000X
Physical Therapist
P21981
NC
Other
Enumeration date
06/11/2019
Last updated
11/18/2025
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