Individual
MADISON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4710 CHIMNEY DR STE D, CHARLESTON, WV 25302-4841
(304) 965-2458
(304) 965-2258
Mailing address
4710 CHIMNEY DR STE D, CHARLESTON, WV 25302-4841
(304) 965-2458
(304) 965-2258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023-4043
WV
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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