Individual
TUCKER DANIEL DEVILBISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PES, CES
Contact information
Practice address
516B N STREET, CAMP LEJEUNE, NC 28547
(717) 855-6215
Mailing address
817 COLCHESTER REEF RUN, SNEADS FERRY, NC 28460-1409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
10/24/2025
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