Individual
JENNIFER LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 W MERCER ST, JASPER, MO 64755-9346
(417) 394-2416
(417) 394-2394
Mailing address
201 W MERCER ST, JASPER, MO 64755-9346
(417) 394-2416
(417) 394-2394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103147
MO
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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