Individual
JOHN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CNMT
Contact information
Practice address
8109 COOPER CREEK BLVD, UNIVERSITY PARK, FL 34201-2004
(941) 366-1168
(941) 360-1125
Mailing address
8109 COOPER CREEK BLVD, UNIVERSITY PARK, FL 34201-2004
(941) 366-1168
(941) 360-1125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40694
FL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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