Individual
ETHAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
428 BEECHER RD STE B, GAHANNA, OH 43230-4562
(614) 855-5533
(614) 855-5566
Mailing address
428 BEECHER RD STE B, GAHANNA, OH 43230-4562
(614) 855-5533
(614) 855-5566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.025407
OH
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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