Individual
JOSEPH TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2714 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5837
(931) 552-0796
Mailing address
305 MAYFIELD STA, BRENTWOOD, TN 37027-7651
(615) 837-7867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7152
LICENSE#
TN
Enumeration date
11/07/2006
Last updated
07/08/2007
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