Individual
TUCKER EICHHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2819 CONNER DR, CANYON, TX 79015-4201
(505) 259-3404
Mailing address
PO BOX 60049, CANYON, TX 79016-0001
(806) 651-3644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1032087
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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