Individual
LEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 WAKARUSA DR, SUITE 1000, LAWRENCE, KS 66049-4798
(785) 749-1300
Mailing address
1311 WAKARUSA DR, SUITE 1000, LAWRENCE, KS 66049-4798
(785) 749-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T-04621
KS
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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