Individual
DR. LEVI TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-3282
Mailing address
8404 OAKMONT DR, NIXA, MO 65714-9431
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
2021033730
MO
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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