Individual
KEELY ELISE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 STURGIS RD, CONWAY, AR 72034-8334
(501) 513-7903
Mailing address
250 STURGIS RD, CONWAY, AR 72034-8334
(501) 513-7903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5751
AR
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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