Individual
MATTHEW TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 FALLS RD, SHELBURNE, VT 05482-6213
(802) 540-0871
Mailing address
552 THOMAS RD, SHELBURNE, VT 05482-6361
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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