Individual
BENJAMIN STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, COTA, CSCS
Contact information
Practice address
680 KINGSBOROUGH SQ STE B, CHESAPEAKE, VA 23320-4988
(757) 547-0434
(757) 547-0625
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
(631) 760-8306
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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