Individual
HEATHER TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED CFOM
Contact information
Practice address
1325 N MAIN ST, HARRISON, AR 72601-2212
(417) 619-0109
Mailing address
651 SALEM RD, BRANSON, MO 65616-7304
(417) 619-0109
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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